The holder whose full name is Todd, William Michael,come from Marion IL,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000165A) which status is Expired.
| Name | Todd, William Michael |
|---|---|
| License Number | 43000165A |
| License Type | Dental Anesthesia Permit - Light Parenteral Conscious Sedation |
| License Status | Expired |
| City | Marion |
| State | IL |