The holder whose full name is Fuentes, Michael Luis,come from Spring TX,hold the Dental Intern Permit license(NO.42000249A) which status is Expired.
| Name | Fuentes, Michael Luis |
|---|---|
| License Number | 42000249A |
| License Type | Dental Intern Permit |
| License Status | Expired |
| City | Spring |
| State | TX |