License holder summary

RAJALALITHA PONNAMBALAM is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for RAJALALITHA PONNAMBALAM is AUDUBON PA 19403. This licensed professional license is current. The license was granted 05/17/2013 and expired on 03/31/2017.

Pennsylvania

Department of State

RAJALALITHA PONNAMBALAM
Dentistry - Anesthesia Permit - Restricted II
License number
DN001881
Date granted
05/17/2013
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
AUDUBON PA 19403
palicensing.org
ID 16538362
LAST UPDATED 2024-03-25 01:39:57 UTC

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