License holder summary

RICHARD A FORTENBAUGH is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for RICHARD A FORTENBAUGH is NEW CUMBERLAND PA 17070. This licensed professional license is current. The license was granted 07/15/1999 and expired on 03/31/2017.

Pennsylvania

Department of State

RICHARD A FORTENBAUGH
Dentistry - Anesthesia Permit - Restricted II
License number
DN017732A
Date granted
07/15/1999
Date expires
03/31/2017
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Active
Address
NEW CUMBERLAND PA 17070
palicensing.org
ID 16535279
LAST UPDATED 2026-05-11 11:30:15 UTC

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