License holder summary

NICOLE M PROVIDENT is a Expanded Function Dental Assistant licensed to practice in Pennsylvania. The address on file for NICOLE M PROVIDENT is Philadelphia PA 19145. This licensed professional license is current. The license was granted 03/30/2009 and expired on 03/31/2017.

Pennsylvania

Department of State

NICOLE M PROVIDENT
Expanded Function Dental Assistant
License number
DF003819
Date granted
03/30/2009
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
Philadelphia PA 19145
palicensing.org
ID 16558095
LAST UPDATED 2024-02-18 04:38:57 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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