The holder whose full name is Frey, Timothy James,come from Fort Wayne IN,hold the Dental Anesthesia Permit - GADS license(NO.43000216A) which status is Active.
| Name | Frey, Timothy James |
|---|---|
| License Number | 43000216A |
| License Type | Dental Anesthesia Permit - GADS |
| License Status | Active |
| City | Fort Wayne |
| State | IN |