License holder summary

KENNETH L MINIMAN is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for KENNETH L MINIMAN is MEDIA PA 190635122. This licensed professional license is not current. The license was granted 06/22/1989 and expired on 06/30/2005.

Pennsylvania

Department of State

KENNETH L MINIMAN
Dentistry - Anesthesia Permit - Restricted II
License number
DN019654A
Date granted
06/22/1989
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
MEDIA PA 190635122
palicensing.org
ID 16535582
LAST UPDATED 2024-03-15 10:57:02 UTC

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