License holder summary

DOUGLAS GALEN KISTLER is a Dentistry - Anesthesia Permit - Restricted I licensed to practice in Pennsylvania. The address on file for DOUGLAS GALEN KISTLER is SPRING GROVE PA 17362. This licensed professional license is not current. The license was granted 08/15/1996 and expired on 06/30/2005.

Pennsylvania

Department of State

DOUGLAS GALEN KISTLER
Dentistry - Anesthesia Permit - Restricted I
License number
DP029459A
Date granted
08/15/1996
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Restricted I
Status
Inactive
Address
SPRING GROVE PA 17362
palicensing.org
ID 16534004
LAST UPDATED 2026-05-11 12:29:46 UTC

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