The holder whose full name is Barco, Martin T.,come from Bloomington IN,hold the Dental Intern Permit license(NO.42000373A) which status is Superceded.
| Name | Barco, Martin T. |
|---|---|
| License Number | 42000373A |
| License Type | Dental Intern Permit |
| License Status | Superceded |
| City | Bloomington |
| State | IN |