The holder whose full name is Barney, Jason Philip,come from Fishers IN,hold the Dental Intern Permit license(NO.42000380A) which status is Superceded.
| Name | Barney, Jason Philip |
|---|---|
| License Number | 42000380A |
| License Type | Dental Intern Permit |
| License Status | Superceded |
| City | Fishers |
| State | IN |