The holder whose full name is Coulter, William Brian,come from Mishawaka IN,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000295A) which status is Active.
| Name | Coulter, William Brian |
|---|---|
| License Number | 43000295A |
| License Type | Dental Anesthesia Permit - Light Parenteral Conscious Sedation |
| License Status | Active |
| City | Mishawaka |
| State | IN |