The holder whose full name is Canfield, Jeffrey Mark,come from Indianapolis IN,hold the Dental Intern Permit license(NO.42000194A) which status is Superceded.
| Name | Canfield, Jeffrey Mark |
|---|---|
| License Number | 42000194A |
| License Type | Dental Intern Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |