The holder whose full name is CHILDES, GEORGE THOMAS,come from Bloomington IN,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000122A) which status is Expired.
| Name | CHILDES, GEORGE THOMAS |
|---|---|
| License Number | 43000122A |
| License Type | Dental Anesthesia Permit - Light Parenteral Conscious Sedation |
| License Status | Expired |
| City | Bloomington |
| State | IN |