License holder summary

DIANNA JUSTINE CHAMPION is a Dentistry - Anesthesia Permit - Restricted I licensed to practice in Pennsylvania. The address on file for DIANNA JUSTINE CHAMPION is Mullica Hill NJ 08062. This licensed professional license is not current. The license was granted 06/06/2002 and expired on 06/30/2005.

Pennsylvania

Department of State

DIANNA JUSTINE CHAMPION
Dentistry - Anesthesia Permit - Restricted I
License number
DP000532
Date granted
06/06/2002
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Restricted I
Status
Expired
Address
Mullica Hill NJ 08062
palicensing.org
ID 16534080
LAST UPDATED 2024-05-17 04:22:33 UTC

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