Pennsylvania
Department of State
JESSICA A FOUNTAIN
Expanded Function Dental Assistant
License number
DF004024
Date granted
05/07/2010
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
Philadelphia PA 19122
palicensing.org
ID 16558209
LAST UPDATED 2024-02-22 00:03:20 UTC
LAST UPDATED 2024-02-22 00:03:20 UTC
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