The holder whose full name is Reese, Ted M.,come from Indianapolis IN,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000104A) which status is Active.
| Name | Reese, Ted M. |
|---|---|
| License Number | 43000104A |
| License Type | Dental Anesthesia Permit - Light Parenteral Conscious Sedation |
| License Status | Active |
| City | Indianapolis |
| State | IN |