License holder summary

KELLY J GOTWALT is a Expanded Function Dental Assistant licensed to practice in Pennsylvania. The address on file for KELLY J GOTWALT is DOVER PA 17315. This licensed professional license is current. The license was granted 12/08/2009 and expired on 03/31/2015.

Pennsylvania

Department of State

KELLY J GOTWALT
Expanded Function Dental Assistant
License number
DF003954
Date granted
12/08/2009
Date expires
03/31/2015
Class
Expanded Function Dental Assistant
Status
Active
Address
DOVER PA 17315
palicensing.org
ID 16558225
LAST UPDATED 2024-04-20 05:09:40 UTC

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