The holder whose full name is Tanner, Nicholas A.,come from Corydon IN,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000330A) which status is Expired.
| Name | Tanner, Nicholas A. |
|---|---|
| License Number | 43000330A |
| License Type | Dental Anesthesia Permit - Light Parenteral Conscious Sedation |
| License Status | Expired |
| City | Corydon |
| State | IN |