License Information

The holder whose full name is DEJEAN, EDGAR KENNETH,come from SALEM IN,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000123A) which status is Expired.

NameDEJEAN, EDGAR KENNETH
License Number43000123A
License TypeDental Anesthesia Permit - Light Parenteral Conscious Sedation
License StatusExpired
CitySALEM
StateIN

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