Pennsylvania
Department of State
ELLEN MARY POULSON
Temporary Expanded Function Dental Assistant
License number
DF001302L
Date granted
10/06/1995
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
ERIE PA 16511
palicensing.org
ID 16560903
LAST UPDATED 2026-04-17 18:43:21 UTC
LAST UPDATED 2026-04-17 18:43:21 UTC
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