License holder summary

MANJU MARIAM JACOB is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for MANJU MARIAM JACOB is Lancaster PA 17601. This licensed professional license is not current. The license was granted 02/02/2010 and expired on 03/31/2011.

Pennsylvania

Department of State

MANJU MARIAM JACOB
Dentistry - Anesthesia Permit - Restricted II
License number
DN001443
Date granted
02/02/2010
Date expires
03/31/2011
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Expired
Address
Lancaster PA 17601
palicensing.org
ID 16537393
LAST UPDATED 2026-04-02 09:01:02 UTC

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