Pennsylvania
Department of State
TRACI RAE FORD
Expanded Function Dental Assistant
License number
DF003149
Date granted
04/16/2008
Date expires
03/31/2017
Class
Expanded Function Dental Assistant
Status
Active
Address
Stevens PA 17578
palicensing.org
ID 16557671
LAST UPDATED 2026-04-10 12:53:45 UTC
LAST UPDATED 2026-04-10 12:53:45 UTC
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