Pennsylvania
Department of State
KATELYN STACKWICZ
Expanded Function Dental Assistant
License number
DF004775
Date granted
07/29/2014
Date expires
03/31/2015
Class
Expanded Function Dental Assistant
Status
Active
Address
PHILADELPHIA PA 19114
palicensing.org
ID 19170988
LAST UPDATED 2026-06-13 17:27:58 UTC
LAST UPDATED 2026-06-13 17:27:58 UTC
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