Pennsylvania
Department of State
DINA E VAN PUTTEN
Expanded Function Dental Assistant
License number
DF004269
Date granted
08/26/2011
Date expires
03/31/2015
Class
Expanded Function Dental Assistant
Status
Expired
Address
ELKINS PARK PA 19027
palicensing.org
ID 16558512
LAST UPDATED 2024-04-21 19:01:33 UTC
LAST UPDATED 2024-04-21 19:01:33 UTC
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