Pennsylvania
Department of State
SUSAN DIANE BOUDMAN
Expanded Function Dental Assistant
License number
DF002649
Date granted
03/05/2008
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
Millville PA 17846
palicensing.org
ID 16557743
LAST UPDATED 2024-03-06 12:12:31 UTC
LAST UPDATED 2024-03-06 12:12:31 UTC
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