The holder whose full name is Nowakowski, Allan Roy,come from Muncie IN,hold the Dental Anesthesia Permit - GADS license(NO.43000124A) which status is Expired.
Name | Nowakowski, Allan Roy |
---|---|
License Number | 43000124A |
License Type | Dental Anesthesia Permit - GADS |
License Status | Expired |
City | Muncie |
State | IN |