Pennsylvania
Department of State
SHIRLEY MAE BROTZMAN
Expanded Function Dental Assistant
License number
DF003308
Date granted
05/08/2008
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
KUNKLETOWN PA 18058
palicensing.org
ID 16558948
LAST UPDATED 2026-07-11 01:43:36 UTC
LAST UPDATED 2026-07-11 01:43:36 UTC
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