License holder summary

ALISA BASARA PHOENIX is a Dental Hygienist licensed to practice in Pennsylvania. The address on file for ALISA BASARA PHOENIX is SAN ANTONIO TX 78250-5600. This licensed professional license is not current. The license was granted 02/21/1986 and expired on 03/31/1989.

Pennsylvania

Department of State

ALISA BASARA PHOENIX
Dental Hygienist
License number
DH008594L
Date granted
02/21/1986
Date expires
03/31/1989
Class
Dental Hygienist
Status
Inactive
Address
SAN ANTONIO TX 78250-5600
palicensing.org
ID 16546636
LAST UPDATED 2024-03-17 09:57:44 UTC

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