The holder whose full name is McDaniels, Jason Raymond,come from Roanoke IN,hold the Dental Intern Permit license(NO.42000190A) which status is Superceded.
| Name | McDaniels, Jason Raymond |
|---|---|
| License Number | 42000190A |
| License Type | Dental Intern Permit |
| License Status | Superceded |
| City | Roanoke |
| State | IN |