Pennsylvania
Department of State
KIRSTEN L WAZALIS
Temporary Expanded Function Dental Assistant
License number
DF001965L
Date granted
08/11/1998
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
PHILADELPHIA PA 19125
palicensing.org
ID 16561430
LAST UPDATED 2026-06-03 03:49:40 UTC
LAST UPDATED 2026-06-03 03:49:40 UTC
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