The holder whose full name is Van Winkle, Kurt D.,come from Indianapolis IN,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000143A) which status is Expired.
| Name | Van Winkle, Kurt D. |
|---|---|
| License Number | 43000143A |
| License Type | Dental Anesthesia Permit - Light Parenteral Conscious Sedation |
| License Status | Expired |
| City | Indianapolis |
| State | IN |