Pennsylvania
Department of State
JOANN AGNES KAPUSTKA
Temporary Expanded Function Dental Assistant
License number
DF001709L
Date granted
06/21/1996
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
SUMMERHILL PA 15958
palicensing.org
ID 16561251
LAST UPDATED 2024-03-05 09:44:49 UTC
LAST UPDATED 2024-03-05 09:44:49 UTC
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