The holder whose full name is Boyd, Logan Ballard,come from Vincennes IN,hold the Dental Anesthesia Permit - GADS license(NO.43000096A) which status is Expired.
| Name | Boyd, Logan Ballard |
|---|---|
| License Number | 43000096A |
| License Type | Dental Anesthesia Permit - GADS |
| License Status | Expired |
| City | Vincennes |
| State | IN |