The holder whose full name is Moll, Melvin Charles,come from Indianapolis IN,hold the Dental Anesthesia Permit - GADS license(NO.43000052A) which status is Expired.
| Name | Moll, Melvin Charles |
|---|---|
| License Number | 43000052A |
| License Type | Dental Anesthesia Permit - GADS |
| License Status | Expired |
| City | Indianapolis |
| State | IN |