Pennsylvania
Department of State
TERRELL WALTER LOCKETT
Expanded Function Dental Assistant
License number
DF004642
Date granted
10/08/2013
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
Philadelphia PA 19124
palicensing.org
ID 16558847
LAST UPDATED 2026-05-22 09:26:43 UTC
LAST UPDATED 2026-05-22 09:26:43 UTC
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