The holder whose full name is Strieter, Lisa Maellen,come from Wabash IN,hold the Dental Intern Permit license(NO.42000250A) which status is Superceded.
| Name | Strieter, Lisa Maellen |
|---|---|
| License Number | 42000250A |
| License Type | Dental Intern Permit |
| License Status | Superceded |
| City | Wabash |
| State | IN |