License holder summary

MARY A REVOLT is a Temporary Expanded Function Dental Assistant licensed to practice in Pennsylvania. The address on file for MARY A REVOLT is EXPORT PA 15632. This licensed professional license is not current. The license was granted 08/09/1995.

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 2024-02-20 18:11:34 UTC

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