The holder whose full name is ALLEN, ROBERT RUFUS,come from SOUTH BEND IN,hold the Dental Anesthesia Permit - GADS license(NO.43000029A) which status is Expired.
| Name | ALLEN, ROBERT RUFUS |
|---|---|
| License Number | 43000029A |
| License Type | Dental Anesthesia Permit - GADS |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |