Pennsylvania
Department of State
LISA K MYRUM
Dentistry - Anesthesia Permit - Restricted II
License number
DN001904
Date granted
06/04/2013
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
Philadelphia PA 19123
palicensing.org
ID 16538757
LAST UPDATED 2024-05-12 22:09:07 UTC
LAST UPDATED 2024-05-12 22:09:07 UTC
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