The holder whose full name is Wilkinson, Jeffrey Michael,come from Crown Point IN,hold the Dental Intern Permit license(NO.42000280A) which status is Superceded.
| Name | Wilkinson, Jeffrey Michael |
|---|---|
| License Number | 42000280A |
| License Type | Dental Intern Permit |
| License Status | Superceded |
| City | Crown Point |
| State | IN |