Pennsylvania
Department of State
LISA A FULMER
Temporary Expanded Function Dental Assistant
License number
DF000719L
Date granted
08/18/1995
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
Pennsburg PA 18073
palicensing.org
ID 16560380
LAST UPDATED 2026-06-13 19:24:27 UTC
LAST UPDATED 2026-06-13 19:24:27 UTC
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