The holder whose full name is LUSH JR, JOSEPH FRANK,come from HAMMOND IN,hold the Dental Anesthesia Permit - GADS license(NO.43000046A) which status is Expired.
| Name | LUSH JR, JOSEPH FRANK |
|---|---|
| License Number | 43000046A |
| License Type | Dental Anesthesia Permit - GADS |
| License Status | Expired |
| City | HAMMOND |
| State | IN |