The holder whose full name is Urschel, Lewis James,come from Lafayette IN,hold the Dental Anesthesia Permit - GADS license(NO.43000026A) which status is Expired.
Name | Urschel, Lewis James |
---|---|
License Number | 43000026A |
License Type | Dental Anesthesia Permit - GADS |
License Status | Expired |
City | Lafayette |
State | IN |