Pennsylvania
Department of State
KHEMPETH SYHALATH
Expanded Function Dental Assistant
License number
DF003503
Date granted
05/12/2008
Date expires
03/31/2011
Class
Expanded Function Dental Assistant
Status
Revoked
Address
PHILADELPHIA PA 19148
palicensing.org
ID 16558951
LAST UPDATED 2024-04-21 22:48:11 UTC
LAST UPDATED 2024-04-21 22:48:11 UTC
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