Pennsylvania
Department of State
TARA GROVE
Expanded Function Dental Assistant
License number
DF004503
Date granted
12/04/2012
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
CARBONDALE PA 18407
palicensing.org
ID 16558747
LAST UPDATED 2024-05-06 08:14:26 UTC
LAST UPDATED 2024-05-06 08:14:26 UTC
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