The holder whose full name is Guaccio, Richard Alphonse,come from Schererville IN,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000041A) which status is Active.
| Name | Guaccio, Richard Alphonse |
|---|---|
| License Number | 43000041A |
| License Type | Dental Anesthesia Permit - Light Parenteral Conscious Sedation |
| License Status | Active |
| City | Schererville |
| State | IN |