The holder whose full name is Martin, T. Harold,come from Charlestown IN,hold the Dental Anesthesia Permit - GADS license(NO.43000016A) which status is Active.
| Name | Martin, T. Harold |
|---|---|
| License Number | 43000016A |
| License Type | Dental Anesthesia Permit - GADS |
| License Status | Active |
| City | Charlestown |
| State | IN |