The holder whose full name is Porter, John Michael,come from Zionsville IN,hold the Dental Anesthesia Permit - GADS license(NO.43000059A) which status is Expired.
| Name | Porter, John Michael |
|---|---|
| License Number | 43000059A |
| License Type | Dental Anesthesia Permit - GADS |
| License Status | Expired |
| City | Zionsville |
| State | IN |