Pennsylvania
Department of State
MARK ANDREW KOUP
Dentistry - Anesthesia Permit - Restricted II
License number
DN000922
Date granted
06/11/2005
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
Malvern PA 19355
palicensing.org
ID 16538031
LAST UPDATED 2026-05-12 17:22:31 UTC
LAST UPDATED 2026-05-12 17:22:31 UTC
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