The holder whose full name is Perry, Michael Charles,come from Lafayette IN,hold the Dental Anesthesia Permit - GADS license(NO.43000020A) which status is Expired.
| Name | Perry, Michael Charles |
|---|---|
| License Number | 43000020A |
| License Type | Dental Anesthesia Permit - GADS |
| License Status | Expired |
| City | Lafayette |
| State | IN |