License holder summary

JACKLYN R COSTELLO is a Expanded Function Dental Assistant licensed to practice in Pennsylvania. The address on file for JACKLYN R COSTELLO is PHILADELPHIA PA 19136. This licensed professional license is not current. The license was granted 04/13/2011 and expired on 03/31/2015.

Pennsylvania

Department of State

JACKLYN R COSTELLO
Expanded Function Dental Assistant
License number
DF004183
Date granted
04/13/2011
Date expires
03/31/2015
Class
Expanded Function Dental Assistant
Status
Expired
Address
PHILADELPHIA PA 19136
palicensing.org
ID 16558364
LAST UPDATED 2024-03-07 01:42:05 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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