License holder summary

JACK IAN MAYER is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for JACK IAN MAYER is EDWARDSVILLE IL 62065-3931. This licensed professional license is not current. The license was granted 09/21/1995 and expired on 03/31/1999.

Pennsylvania

Department of State

JACK IAN MAYER
Dentistry - Anesthesia Permit - Restricted II
License number
DN029381A
Date granted
09/21/1995
Date expires
03/31/1999
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
EDWARDSVILLE IL 62065-3931
palicensing.org
ID 16534761
LAST UPDATED 2024-03-08 12:53:24 UTC

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