License holder summary

NICOLE L BLAKE is a Expanded Function Dental Assistant licensed to practice in Pennsylvania. The address on file for NICOLE L BLAKE is Houtzdale PA 16651. This licensed professional license is current. The license was granted 10/15/2009 and expired on 03/31/2017.

Pennsylvania

Department of State

NICOLE L BLAKE
Expanded Function Dental Assistant
License number
DF003919
Date granted
10/15/2009
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
Houtzdale PA 16651
palicensing.org
ID 16558173
LAST UPDATED 2024-02-22 21:58:40 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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