The holder whose full name is Moore, Brent Allen,come from Fishers IN,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000280A) which status is Active.
| Name | Moore, Brent Allen |
|---|---|
| License Number | 43000280A |
| License Type | Dental Anesthesia Permit - Light Parenteral Conscious Sedation |
| License Status | Active |
| City | Fishers |
| State | IN |