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 |