The holder whose full name is Olivotto, Michael Anthony,come from Valparaiso IN,hold the Dental Anesthesia Permit - GADS license(NO.43000018A) which status is Expired.
Name | Olivotto, Michael Anthony |
---|---|
License Number | 43000018A |
License Type | Dental Anesthesia Permit - GADS |
License Status | Expired |
City | Valparaiso |
State | IN |