Pennsylvania
Department of State
JESSIE MAY PENEZIC
Expanded Function Dental Assistant
License number
DF004704
Date granted
03/28/2014
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
Indiana PA 15701
palicensing.org
ID 19171023
LAST UPDATED 2026-05-10 12:44:06 UTC
LAST UPDATED 2026-05-10 12:44:06 UTC
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