Pennsylvania
Department of State
MELAINE DOREEN HERTZOG
Temporary Expanded Function Dental Assistant
License number
DF000841L
Date granted
08/18/1995
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
FLEETWOOD PA 19522
palicensing.org
ID 16560488
LAST UPDATED 2024-03-28 21:09:02 UTC
LAST UPDATED 2024-03-28 21:09:02 UTC
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