The holder whose full name is Slapnicka, Jan,come from Carmel IN,hold the Dental Intern Permit license(NO.42000375A) which status is Superceded.
Name | Slapnicka, Jan |
---|---|
License Number | 42000375A |
License Type | Dental Intern Permit |
License Status | Superceded |
City | Carmel |
State | IN |