License holder summary

SUSAN LOIS WIESEN is a Temporary Expanded Function Dental Assistant licensed to practice in Pennsylvania. The address on file for SUSAN LOIS WIESEN is CHESAPEAKE CITY MD 21915. This licensed professional license is not current. The license was granted 09/06/1995.

Pennsylvania

Department of State

SUSAN LOIS WIESEN
Temporary Expanded Function Dental Assistant
License number
DF001340L
Date granted
09/06/1995
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
CHESAPEAKE CITY MD 21915
palicensing.org
ID 16560932
LAST UPDATED 2026-06-27 20:46:26 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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