License holder summary

JACK EDWARD VANDEVISSE, JR is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for JACK EDWARD VANDEVISSE, JR is McKees Rocks PA 15136. This licensed professional license is not current. The license was granted 09/07/1989 and expired on 03/31/2015.

Pennsylvania

Department of State

JACK EDWARD VANDEVISSE, JR
Dentistry - Anesthesia Permit - Restricted II
License number
DN018824A
Date granted
09/07/1989
Date expires
03/31/2015
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
McKees Rocks PA 15136
palicensing.org
ID 16535438
LAST UPDATED 2026-04-16 22:14:07 UTC

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