The holder whose full name is Mamaril, Edward T.,come from Kokomo IN,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000148A) which status is Active.
| Name | Mamaril, Edward T. |
|---|---|
| License Number | 43000148A |
| License Type | Dental Anesthesia Permit - Light Parenteral Conscious Sedation |
| License Status | Active |
| City | Kokomo |
| State | IN |