The holder whose full name is Tate, Scott E.,come from Bloomington IN,hold the Dental Anesthesia Permit - GADS license(NO.43000257A) which status is Active.
| Name | Tate, Scott E. |
|---|---|
| License Number | 43000257A |
| License Type | Dental Anesthesia Permit - GADS |
| License Status | Active |
| City | Bloomington |
| State | IN |