Pennsylvania
Department of State
MALCOLM L JACKSON
Dentistry - Anesthesia Permit - Restricted I
License number
DP018170A
Date granted
07/13/1989
Date expires
03/31/2001
Class
Dentistry - Anesthesia Permit - Restricted I
Status
Inactive
Address
PITTSBURGH PA 15241-3236
palicensing.org
ID 16534187
LAST UPDATED 2024-04-11 16:11:40 UTC
LAST UPDATED 2024-04-11 16:11:40 UTC
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