Pennsylvania
Department of State
AQUALYNN A FORTUN
Expanded Function Dental Assistant
License number
DF003926
Date granted
10/16/2009
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
Bethlehem PA 18017
palicensing.org
ID 16558190
LAST UPDATED 2024-03-05 00:53:35 UTC
LAST UPDATED 2024-03-05 00:53:35 UTC
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