Pennsylvania
Department of State
REGINA L JACOBS
Temporary Expanded Function Dental Assistant
License number
DF001759L
Date granted
09/25/1996
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
O Fallon MO 63366
palicensing.org
ID 16561290
LAST UPDATED 2026-05-23 23:02:57 UTC
LAST UPDATED 2026-05-23 23:02:57 UTC
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