Pennsylvania
Department of State
JACQUELYN MARIE GOODMAN
Expanded Function Dental Assistant
License number
DF004540
Date granted
03/14/2013
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
ERIE PA 16508
palicensing.org
ID 16558705
LAST UPDATED 2024-03-09 04:46:27 UTC
LAST UPDATED 2024-03-09 04:46:27 UTC
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