The holder whose full name is Dale, Kenneth Gordon,come from New Albany IN,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000145A) which status is Expired.
| Name | Dale, Kenneth Gordon |
|---|---|
| License Number | 43000145A |
| License Type | Dental Anesthesia Permit - Light Parenteral Conscious Sedation |
| License Status | Expired |
| City | New Albany |
| State | IN |