License holder summary

CLIFTON ELLIS DIETZ is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for CLIFTON ELLIS DIETZ is BEAVER PA 15009. This licensed professional license is not current. The license was granted 05/30/1989 and expired on 06/30/2005.

Pennsylvania

Department of State

CLIFTON ELLIS DIETZ
Dentistry - Anesthesia Permit - Restricted II
License number
DN023648A
Date granted
05/30/1989
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
BEAVER PA 15009
palicensing.org
ID 16536267
LAST UPDATED 2024-03-29 18:41:23 UTC

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