Pennsylvania
Department of State
ANNA A CHISTYAKOVA
Expanded Function Dental Assistant
License number
DF003903
Date granted
08/28/2009
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
Feasterville Trevose PA 19053
palicensing.org
ID 16557946
LAST UPDATED 2026-05-04 20:47:53 UTC
LAST UPDATED 2026-05-04 20:47:53 UTC
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