Pennsylvania
Department of State
NICOLE A RUSSOMANNO
Expanded Function Dental Assistant
License number
DF004635
Date granted
09/30/2013
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
WEST LONG BRANCH NJ 07764
palicensing.org
ID 16558852
LAST UPDATED 2024-02-17 19:28:49 UTC
LAST UPDATED 2024-02-17 19:28:49 UTC
This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.