Pennsylvania
Department of State
TARA C JOHNSON
Temporary Expanded Function Dental Assistant
License number
DF000227L
Date granted
08/09/1995
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
LANCASTER PA 17603
palicensing.org
ID 16562505
LAST UPDATED 2026-04-12 05:21:35 UTC
LAST UPDATED 2026-04-12 05:21:35 UTC
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