Pennsylvania
Department of State
MONIQUE A ETTIENNE
Expanded Function Dental Assistant
License number
DF004079
Date granted
08/12/2010
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
Philadelphia PA 19138
palicensing.org
ID 16558341
LAST UPDATED 2026-05-06 13:02:58 UTC
LAST UPDATED 2026-05-06 13:02:58 UTC
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