License holder summary

CHARLIE PARK is a Dentistry - Anesthesia Permit - Unrestricted licensed to practice in Pennsylvania. The address on file for CHARLIE PARK is Ardmore PA 19003. This licensed professional license is current. The license was granted 09/24/2014 and expired on 03/31/2017.

Pennsylvania

Department of State

CHARLIE PARK
Dentistry - Anesthesia Permit - Unrestricted
License number
DA031716
Date granted
09/24/2014
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Unrestricted
Status
Active
Address
Ardmore PA 19003
palicensing.org
ID 29608653
LAST UPDATED 2024-02-28 03:12:00 UTC

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