License holder summary

KELLY JOHANNA WAGGENER is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for KELLY JOHANNA WAGGENER is ALLENTOWN PA 18103. This licensed professional license is not current. The license was granted 09/04/2001 and expired on 03/31/2003.

Pennsylvania

Department of State

KELLY JOHANNA WAGGENER
Dentistry - Anesthesia Permit - Restricted II
License number
DN000509
Date granted
09/04/2001
Date expires
03/31/2003
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
ALLENTOWN PA 18103
palicensing.org
ID 16537702
LAST UPDATED 2024-01-29 15:47:38 UTC

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