Pennsylvania
Department of State
MARY A REVOLT
Temporary Expanded Function Dental Assistant
License number
DF000125L
Date granted
08/09/1995
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
EXPORT PA 15632
palicensing.org
ID 16562404
LAST UPDATED 2026-03-17 23:59:05 UTC
LAST UPDATED 2026-03-17 23:59:05 UTC
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