License holder summary

JAY LACKMAN is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for JAY LACKMAN is BALA CYNWYD PA 19004. This licensed professional license is current. The license was granted 07/16/2009 and expired on 03/31/2017.

Pennsylvania

Department of State

JAY LACKMAN
Dentistry - Anesthesia Permit - Restricted II
License number
DN001401
Date granted
07/16/2009
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
BALA CYNWYD PA 19004
palicensing.org
ID 16535295
LAST UPDATED 2024-04-02 11:44:58 UTC

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