The holder whose full name is Lee, Steven Brian,come from Fort Wayne IN,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000136A) which status is Expired.
| Name | Lee, Steven Brian |
|---|---|
| License Number | 43000136A |
| License Type | Dental Anesthesia Permit - Light Parenteral Conscious Sedation |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |