The holder whose full name is Fatland, Kevin,come from Merrillville IN,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000285A) which status is Expired.
| Name | Fatland, Kevin |
|---|---|
| License Number | 43000285A |
| License Type | Dental Anesthesia Permit - Light Parenteral Conscious Sedation |
| License Status | Expired |
| City | Merrillville |
| State | IN |