The holder whose full name is Wadsworth, Larry Michael,come from Greensburg IN,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000065A) which status is Expired.
Name | Wadsworth, Larry Michael |
---|---|
License Number | 43000065A |
License Type | Dental Anesthesia Permit - Light Parenteral Conscious Sedation |
License Status | Expired |
City | Greensburg |
State | IN |