License holder summary

AMY ELISABETH FORD is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for AMY ELISABETH FORD is Philadelphia PA 19103. This licensed professional license is current. The license was granted 07/31/2012 and expired on 03/31/2017.

Pennsylvania

Department of State

AMY ELISABETH FORD
Dentistry - Anesthesia Permit - Restricted II
License number
DN001798
Date granted
07/31/2012
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
Philadelphia PA 19103
palicensing.org
ID 16538553
LAST UPDATED 2026-04-25 19:57:03 UTC

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