License holder summary

LESLIE D MACK is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for LESLIE D MACK is Horsham PA 19044. This licensed professional license is current. The license was granted 07/07/2014 and expired on 03/31/2017.

Pennsylvania

Department of State

LESLIE D MACK
Dentistry - Anesthesia Permit - Restricted II
License number
DN002091
Date granted
07/07/2014
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
Horsham PA 19044
palicensing.org
ID 18973868
LAST UPDATED 2024-03-15 17:02:28 UTC

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