License holder summary

JEROME L CHAMPAGNE is a Dentist licensed to practice in Pennsylvania. The address on file for JEROME L CHAMPAGNE is WINSTON SALEM NC 27106. This licensed professional license is not current. The license was granted 07/05/1962 and expired on 03/31/1989.

Pennsylvania

Department of State

JEROME L CHAMPAGNE
Dentist
License number
DS015054L
Date granted
07/05/1962
Date expires
03/31/1989
Class
Dentist
Status
Expired
Address
WINSTON SALEM NC 27106
palicensing.org
ID 16554929
LAST UPDATED 2024-03-10 16:16:42 UTC

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