The holder whose full name is Henrikson, Brett Anthony,come from Lafayette IN,hold the Dental Anesthesia Permit - GADS license(NO.43000258A) which status is Active.
| Name | Henrikson, Brett Anthony |
|---|---|
| License Number | 43000258A |
| License Type | Dental Anesthesia Permit - GADS |
| License Status | Active |
| City | Lafayette |
| State | IN |