License holder summary

BLAINE ADAM KEISTER is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for BLAINE ADAM KEISTER is Ephrata PA 17522. This licensed professional license is not current. The license was granted 06/05/2009 and expired on 03/31/2015.

Pennsylvania

Department of State

BLAINE ADAM KEISTER
Dentistry - Anesthesia Permit - Restricted II
License number
DN001371
Date granted
06/05/2009
Date expires
03/31/2015
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
Ephrata PA 17522
palicensing.org
ID 16538342
LAST UPDATED 2024-05-09 15:34:44 UTC

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