The holder whose full name is LUSH SR, WILLIAM E,come from SCHERERVILLE IN,hold the Dental Anesthesia Permit - GADS license(NO.43000047A) which status is Expired.
Name | LUSH SR, WILLIAM E |
---|---|
License Number | 43000047A |
License Type | Dental Anesthesia Permit - GADS |
License Status | Expired |
City | SCHERERVILLE |
State | IN |