The holder whose full name is Mader, Jeffrey Scott,come from South Bend IN,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000311A) which status is Active.
| Name | Mader, Jeffrey Scott |
|---|---|
| License Number | 43000311A |
| License Type | Dental Anesthesia Permit - Light Parenteral Conscious Sedation |
| License Status | Active |
| City | South Bend |
| State | IN |