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
LAST UPDATED 2026-06-11 01:29:42 UTC
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