Pennsylvania
Department of State
REGINA F NICKLE
Expanded Function Dental Assistant
License number
DF004095
Date granted
10/18/2010
Date expires
03/31/2013
Class
Expanded Function Dental Assistant
Status
Expired
Address
LAKE CITY PA 16423
palicensing.org
ID 16558369
LAST UPDATED 2026-06-13 22:39:34 UTC
LAST UPDATED 2026-06-13 22:39:34 UTC
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