Pennsylvania
Department of State
KENNETH C FORDHAM
Dentistry - Anesthesia Permit - Restricted II
License number
DN012695A
Date granted
05/22/1989
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
RADNOR PA 19087
palicensing.org
ID 16534908
LAST UPDATED 2024-03-12 06:24:19 UTC
LAST UPDATED 2024-03-12 06:24:19 UTC
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