License holder summary

STACEY ANN WASIELEWSKI is a Temporary Expanded Function Dental Assistant licensed to practice in Pennsylvania. The address on file for STACEY ANN WASIELEWSKI is IMPERIAL PA 15126. This licensed professional license is not current. The license was granted 02/20/2002.

Pennsylvania

Department of State

STACEY ANN WASIELEWSKI
Temporary Expanded Function Dental Assistant
License number
DFT002254
Date granted
02/20/2002
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
IMPERIAL PA 15126
palicensing.org
ID 16561665
LAST UPDATED 2024-02-18 05:20:54 UTC

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