Pennsylvania
Department of State
LISA M TIMS
Temporary Expanded Function Dental Assistant
License number
DF000225L
Date granted
08/18/1995
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
BRACKNEY PA 18812
palicensing.org
ID 16562503
LAST UPDATED 2026-07-22 10:02:53 UTC
LAST UPDATED 2026-07-22 10:02:53 UTC
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