License holder summary

KELLY ANN HEITZENRATER is a Temporary Expanded Function Dental Assistant licensed to practice in Pennsylvania. The address on file for KELLY ANN HEITZENRATER is AMBRIDGE PA 15003. This licensed professional license is not current. The license was granted 05/07/2005.

Pennsylvania

Department of State

KELLY ANN HEITZENRATER
Temporary Expanded Function Dental Assistant
License number
DFT002580
Date granted
05/07/2005
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
AMBRIDGE PA 15003
palicensing.org
ID 16561917
LAST UPDATED 2024-02-27 20:40:47 UTC

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