License holder summary

THOMAS FREDERICK MONTAG is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for THOMAS FREDERICK MONTAG is BROOKVILLE PA 15825. This licensed professional license is not current. The license was granted 08/15/1996 and expired on 06/30/2005.

Pennsylvania

Department of State

THOMAS FREDERICK MONTAG
Dentistry - Anesthesia Permit - Restricted II
License number
DN029845A
Date granted
08/15/1996
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Expired
Address
BROOKVILLE PA 15825
palicensing.org
ID 16537361
LAST UPDATED 2024-02-15 06:11:29 UTC

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