Pennsylvania
Department of State
LISA MARIE GODZIN
Expanded Function Dental Assistant
License number
DF004628
Date granted
09/17/2013
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
BELLE VERNON PA 15012
palicensing.org
ID 16558802
LAST UPDATED 2026-06-26 10:07:56 UTC
LAST UPDATED 2026-06-26 10:07:56 UTC
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