Pennsylvania
Department of State
JONATHAN G VAN DERMARK
Dentistry - Anesthesia Permit - Restricted II
License number
DN001672
Date granted
08/19/2011
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
SAYRE PA 18840
palicensing.org
ID 16538436
LAST UPDATED 2026-05-28 10:05:21 UTC
LAST UPDATED 2026-05-28 10:05:21 UTC
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