The holder whose full name is Shank, John Jacob,come from Fort Wayne IN,hold the Dental Anesthesia Permit license(NO.43000210A) which status is Expired.
| Name | Shank, John Jacob |
|---|---|
| License Number | 43000210A |
| License Type | Dental Anesthesia Permit |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |