The holder whose full name is Stronczek, Michael Joseph,come from Fort Wayne IN,hold the Dental Anesthesia Permit - GADS license(NO.43000158A) which status is Active.
| Name | Stronczek, Michael Joseph |
|---|---|
| License Number | 43000158A |
| License Type | Dental Anesthesia Permit - GADS |
| License Status | Active |
| City | Fort Wayne |
| State | IN |