License holder summary

AMANDA J LACKEY is a Temporary Expanded Function Dental Assistant licensed to practice in Pennsylvania. The address on file for AMANDA J LACKEY is Kingston PA 18704. This licensed professional license is not current. The license was granted 11/03/2006.

Pennsylvania

Department of State

AMANDA J LACKEY
Temporary Expanded Function Dental Assistant
License number
DFT002818
Date granted
11/03/2006
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
Kingston PA 18704
palicensing.org
ID 16562126
LAST UPDATED 2024-04-05 07:10:02 UTC

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