License Information

The holder whose full name is Iczkovitz, Michael Louis,come from Fort Wayne IN,hold the Dental Anesthesia Permit - GADS license(NO.43000120A) which status is Active.

NameIczkovitz, Michael Louis
License Number43000120A
License TypeDental Anesthesia Permit - GADS
License StatusActive
CityFort Wayne
StateIN

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