License holder summary

GARY LEE KISTNER is a Dentistry - Anesthesia Permit - Restricted I licensed to practice in Pennsylvania. The address on file for GARY LEE KISTNER is Port Matilda PA 16870. This licensed professional license is current. The license was granted 06/10/1993 and expired on 03/31/2017.

Pennsylvania

Department of State

GARY LEE KISTNER
Dentistry - Anesthesia Permit - Restricted I
License number
DP022565L
Date granted
06/10/1993
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted I
Status
Active
Address
Port Matilda PA 16870
palicensing.org
ID 16534505
LAST UPDATED 2024-02-27 21:42:57 UTC

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