The holder whose full name is Leniski, Lisa Marie,come from Michigan City IN,hold the Dental Intern Permit license(NO.42000323A) which status is Superceded.
| Name | Leniski, Lisa Marie |
|---|---|
| License Number | 42000323A |
| License Type | Dental Intern Permit |
| License Status | Superceded |
| City | Michigan City |
| State | IN |