License holder summary

ELLEN MARY POULSON is a Temporary Expanded Function Dental Assistant licensed to practice in Pennsylvania. The address on file for ELLEN MARY POULSON is ERIE PA 16511. This licensed professional license is not current. The license was granted 10/06/1995.

Pennsylvania

Department of State

ELLEN MARY POULSON
Temporary Expanded Function Dental Assistant
License number
DF001302L
Date granted
10/06/1995
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
ERIE PA 16511
palicensing.org
ID 16560903
LAST UPDATED 2024-03-19 03:18:48 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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