License holder summary

MARK ANDREW LATTA is a Dentistry - Anesthesia Permit - Restricted I licensed to practice in Pennsylvania. The address on file for MARK ANDREW LATTA is Omaha NE 68118. This licensed professional license is not current. The license was granted 01/23/1990 and expired on 06/30/2005.

Pennsylvania

Department of State

MARK ANDREW LATTA
Dentistry - Anesthesia Permit - Restricted I
License number
DP023765A
Date granted
01/23/1990
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Restricted I
Status
Expired
Address
Omaha NE 68118
palicensing.org
ID 16534538
LAST UPDATED 2024-03-25 14:59:19 UTC

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