Pennsylvania
Department of State
SHANE CHRISTOPHER BLAKE
Dentistry - Anesthesia Permit - Restricted II
License number
DN000614
Date granted
11/05/2002
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
Coudersport PA 16915
palicensing.org
ID 16537842
LAST UPDATED 2024-04-26 20:14:41 UTC
LAST UPDATED 2024-04-26 20:14:41 UTC
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