The holder whose full name is Faulk, Dan Eugene,come from Indianapolis IN,hold the Dental Anesthesia Permit - GADS license(NO.43000036A) which status is Expired.
| Name | Faulk, Dan Eugene |
|---|---|
| License Number | 43000036A |
| License Type | Dental Anesthesia Permit - GADS |
| License Status | Expired |
| City | Indianapolis |
| State | IN |