The holder whose full name is Tackett, John Collins,come from Salem IN,hold the Dental Anesthesia Permit - GADS license(NO.43000162A) which status is Active.
Name | Tackett, John Collins |
---|---|
License Number | 43000162A |
License Type | Dental Anesthesia Permit - GADS |
License Status | Active |
City | Salem |
State | IN |