The holder whose full name is Logan, Timothy Wilson,come from New Albany IN,hold the Dental Anesthesia Permit - GADS license(NO.43000222A) which status is Active.
Name | Logan, Timothy Wilson |
---|---|
License Number | 43000222A |
License Type | Dental Anesthesia Permit - GADS |
License Status | Active |
City | New Albany |
State | IN |