Tara Lianne Dallmann
Moderate Sedation at Braddock Ct, Covington, KY

License number
Colorado 77
Issued Date
Jan 21, 2016
Renew Date
Jan 21, 2016
Expiration Date
Apr 19, 2016
Type
Temporary Moderate Sedation Privileges
Address
Address 2
572 Braddock Ct, Covington, KY 41017
Covington, KY