Pennsylvania
Department of State
NICOLE L HUMENIK
Expanded Function Dental Assistant
License number
DF003901
Date granted
08/27/2009
Date expires
03/31/2013
Class
Expanded Function Dental Assistant
Status
Expired
Address
WEST NEWTON PA 15089
palicensing.org
ID 16558151
LAST UPDATED 2024-03-02 17:45:07 UTC
LAST UPDATED 2024-03-02 17:45:07 UTC
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