License holder summary

GINA M ROTH is a Expanded Function Dental Assistant licensed to practice in Pennsylvania. The address on file for GINA M ROTH is DOVER PA 17315. This licensed professional license is current. The license was granted 07/29/2011 and expired on 03/31/2017.

Pennsylvania

Department of State

GINA M ROTH
Expanded Function Dental Assistant
License number
DF004252
Date granted
07/29/2011
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
DOVER PA 17315
palicensing.org
ID 16558467
LAST UPDATED 2024-03-30 18:46:59 UTC

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