Pennsylvania
Department of State
STACEY LYNN PHILLIPS
Expanded Function Dental Assistant
License number
DF004198
Date granted
05/13/2011
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
PORTAGE PA 15946
palicensing.org
ID 16558454
LAST UPDATED 2026-06-29 11:20:37 UTC
LAST UPDATED 2026-06-29 11:20:37 UTC
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