The holder whose full name is ENGLEMAN, JACK L,come from INDIANAPOLIS IN,hold the Dental Anesthesia Permit - GADS license(NO.43000074A) which status is Expired.
| Name | ENGLEMAN, JACK L |
|---|---|
| License Number | 43000074A |
| License Type | Dental Anesthesia Permit - GADS |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |