License holder summary

SANDRA MAE TISDALE is a Temporary Expanded Function Dental Assistant licensed to practice in Pennsylvania. The address on file for SANDRA MAE TISDALE is JACKSONVILLE NC 28540. This licensed professional license is not current. The license was granted 06/15/1998.

Pennsylvania

Department of State

SANDRA MAE TISDALE
Temporary Expanded Function Dental Assistant
License number
DF001959L
Date granted
06/15/1998
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
JACKSONVILLE NC 28540
palicensing.org
ID 16561425
LAST UPDATED 2026-06-11 01:29:42 UTC

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