License holder summary

ERIC ALLAN FORT is a Dentistry - Anesthesia Permit - Restricted I licensed to practice in Pennsylvania. The address on file for ERIC ALLAN FORT is WEST CHESTER PA 19380. This licensed professional license is current. The license was granted 06/25/2008 and expired on 03/31/2015.

Pennsylvania

Department of State

ERIC ALLAN FORT
Dentistry - Anesthesia Permit - Restricted I
License number
DP000617
Date granted
06/25/2008
Date expires
03/31/2015
Class
Dentistry - Anesthesia Permit - Restricted I
Status
Active
Address
WEST CHESTER PA 19380
palicensing.org
ID 16534124
LAST UPDATED 2024-03-09 18:44:12 UTC

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