The holder whose full name is Nguyen, Amy Pham,come from Indianapolis IN,hold the Dental Intern Permit license(NO.42000358A) which status is Expired.
| Name | Nguyen, Amy Pham |
|---|---|
| License Number | 42000358A |
| License Type | Dental Intern Permit |
| License Status | Expired |
| City | Indianapolis |
| State | IN |