The holder whose full name is Altekruse, Jack Lee,come from Hamilton IN,hold the Dental Anesthesia Permit - GADS license(NO.43000030A) which status is Expired.
| Name | Altekruse, Jack Lee |
|---|---|
| License Number | 43000030A |
| License Type | Dental Anesthesia Permit - GADS |
| License Status | Expired |
| City | Hamilton |
| State | IN |