The holder whose full name is Bacsa, Timothy Allan,come from Indianapolis IN,hold the Dental Anesthesia Permit - Light Parenteral Conscious Sedation license(NO.43000338A) which status is Active.
Name | Bacsa, Timothy Allan |
---|---|
License Number | 43000338A |
License Type | Dental Anesthesia Permit - Light Parenteral Conscious Sedation |
License Status | Active |
City | Indianapolis |
State | IN |