The holder whose full name is Porapaiboon, Lisa Kay,come from Chicago IL,hold the Dental Intern Permit license(NO.42000269A) which status is Superceded.
| Name | Porapaiboon, Lisa Kay |
|---|---|
| License Number | 42000269A |
| License Type | Dental Intern Permit |
| License Status | Superceded |
| City | Chicago |
| State | IL |