License holder summary

CORLISS D WILSON is a Temporary Expanded Function Dental Assistant licensed to practice in Pennsylvania. The address on file for CORLISS D WILSON is PHILADELPHIA PA 19138. This licensed professional license is not current. The license was granted 08/05/1998.

Pennsylvania

Department of State

CORLISS D WILSON
Temporary Expanded Function Dental Assistant
License number
DF001971L
Date granted
08/05/1998
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
PHILADELPHIA PA 19138
palicensing.org
ID 16561436
LAST UPDATED 2024-02-22 03:32:54 UTC

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