The holder whose full name is Knop, David A.,come from Lafayette IN,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000250A) which status is Expired.
Name | Knop, David A. |
---|---|
License Number | 43000250A |
License Type | Dental Anesthesia Permit - Light Parenteral Conscious Sedation |
License Status | Expired |
City | Lafayette |
State | IN |