License holder summary

GEORGE C SAMPLE is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for GEORGE C SAMPLE is NORTH EAST PA 16428. This licensed professional license is not current. The license was granted 04/12/1989 and expired on 03/31/1991.

Pennsylvania

Department of State

GEORGE C SAMPLE
Dentistry - Anesthesia Permit - Restricted II
License number
DN013067A
Date granted
04/12/1989
Date expires
03/31/1991
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
NORTH EAST PA 16428
palicensing.org
ID 16538854
LAST UPDATED 2026-03-29 21:41:01 UTC

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