The holder whose full name is Shemesh, Alon,come from South Bend IN,hold the Dental Intern Permit license(NO.42000102A) which status is Superceded.
| Name | Shemesh, Alon |
|---|---|
| License Number | 42000102A |
| License Type | Dental Intern Permit |
| License Status | Superceded |
| City | South Bend |
| State | IN |