Pennsylvania
Department of State
JODY LYNN FUNK
Temporary Expanded Function Dental Assistant
License number
DF000720L
Date granted
09/11/1995
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
EPHRATA PA 17522-8803
palicensing.org
ID 16560381
LAST UPDATED 2024-02-29 20:59:31 UTC
LAST UPDATED 2024-02-29 20:59:31 UTC
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