License holder summary

DANIEL BRADDOCK LAGRUA is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for DANIEL BRADDOCK LAGRUA is Staunton VA 24401. This licensed professional license is not current. The license was granted 02/25/2000 and expired on 03/31/2003.

Pennsylvania

Department of State

DANIEL BRADDOCK LAGRUA
Dentistry - Anesthesia Permit - Restricted II
License number
DN030944A
Date granted
02/25/2000
Date expires
03/31/2003
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
Staunton VA 24401
palicensing.org
ID 16537603
LAST UPDATED 2024-05-03 08:53:19 UTC

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