Pennsylvania
Department of State
MARCELLE DESRONVIL-LISSADE
Dentistry - Temporary Anesthesia Permit - Restricted I
License number
TDP000174
Date granted
06/11/2005
Date expires
06/10/2006
Class
Dentistry - Temporary Anesthesia Permit - Restricted I
Status
Voided
Address
Charlotte NC 28269
palicensing.org
ID 16559970
LAST UPDATED 2024-03-20 16:28:15 UTC
LAST UPDATED 2024-03-20 16:28:15 UTC
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