Pennsylvania
Department of State
KIM L DECERIO
Expanded Function Dental Assistant
License number
DF004544
Date granted
04/01/2013
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
Norristown PA 19401
palicensing.org
ID 16558765
LAST UPDATED 2026-05-12 05:10:32 UTC
LAST UPDATED 2026-05-12 05:10:32 UTC
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