License holder summary

CARLOS MIRABAL is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for CARLOS MIRABAL is Philadelphia PA 19128. This licensed professional license is current. The license was granted 08/09/2005 and expired on 03/31/2015.

Pennsylvania

Department of State

CARLOS MIRABAL
Dentistry - Anesthesia Permit - Restricted II
License number
DN000793
Date granted
08/09/2005
Date expires
03/31/2015
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
Philadelphia PA 19128
palicensing.org
ID 16538006
LAST UPDATED 2024-04-14 21:32:27 UTC

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