License holder summary

MARYELLEN COSTANZO is a Expanded Function Dental Assistant licensed to practice in Pennsylvania. The address on file for MARYELLEN COSTANZO is SOUTHAMPTON PA 18966. This licensed professional license is current. The license was granted 05/08/2008 and expired on 03/31/2017.

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

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