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 2026-06-10 20:33:25 UTC
LAST UPDATED 2026-06-10 20:33:25 UTC
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