The holder whose full name is KLEEHAMMER, DANIEL S,come from Michigan City IN,hold the Dental Anesthesia Permit - GADS license(NO.43000042A) which status is Expired.
Name | KLEEHAMMER, DANIEL S |
---|---|
License Number | 43000042A |
License Type | Dental Anesthesia Permit - GADS |
License Status | Expired |
City | Michigan City |
State | IN |