Pennsylvania
Department of State
SUSAN LYNN BRADDOCK
Temporary Expanded Function Dental Assistant
License number
DF001395L
Date granted
10/03/1995
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
ERIE PA 16510
palicensing.org
ID 16560981
LAST UPDATED 2024-04-07 21:26:25 UTC
LAST UPDATED 2024-04-07 21:26:25 UTC
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