The holder whose full name is Klise, Terry R.,come from Missoula MT,hold the Dental Anesthesia Permit - GADS license(NO.43000224A) which status is Expired.
| Name | Klise, Terry R. |
|---|---|
| License Number | 43000224A |
| License Type | Dental Anesthesia Permit - GADS |
| License Status | Expired |
| City | Missoula |
| State | MT |