License holder summary

MICHAEL KEITH GOULSTON is a Dentistry - Anesthesia Permit - Unrestricted licensed to practice in Pennsylvania. The address on file for MICHAEL KEITH GOULSTON is Bethlehem PA 18018. This licensed professional license is current. The license was granted 08/03/2009 and expired on 03/31/2015.

Pennsylvania

Department of State

MICHAEL KEITH GOULSTON
Dentistry - Anesthesia Permit - Unrestricted
License number
DA031642
Date granted
08/03/2009
Date expires
03/31/2015
Class
Dentistry - Anesthesia Permit - Unrestricted
Status
Active
Address
Bethlehem PA 18018
palicensing.org
ID 16539510
LAST UPDATED 2024-01-19 05:25:47 UTC

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