Pennsylvania
Department of State
MARYELLEN COSTANZO
Expanded Function Dental Assistant
License number
DF003313
Date granted
05/08/2008
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
SOUTHAMPTON PA 18966
palicensing.org
ID 16559188
LAST UPDATED 2024-04-06 09:01:14 UTC
LAST UPDATED 2024-04-06 09:01:14 UTC
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