License holder summary

LARRY R BROCK is a Dentistry - Anesthesia Permit - Restricted I licensed to practice in Pennsylvania. The address on file for LARRY R BROCK is BEAVER PA 15009. This licensed professional license is not current. The license was granted 03/09/1989 and expired on 06/30/2005.

Pennsylvania

Department of State

LARRY R BROCK
Dentistry - Anesthesia Permit - Restricted I
License number
DP018023A
Date granted
03/09/1989
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Restricted I
Status
Inactive
Address
BEAVER PA 15009
palicensing.org
ID 16534348
LAST UPDATED 2024-04-27 10:41:42 UTC

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