Pennsylvania
Department of State
TRACIE L COSTELLO
Temporary Expanded Function Dental Assistant
License number
DF000269L
Date granted
08/24/1995
Class
Temporary Expanded Function Dental Assistant
Status
Voided
Address
NORRISTOWN PA 19401
palicensing.org
ID 16562541
LAST UPDATED 2024-02-16 08:30:27 UTC
LAST UPDATED 2024-02-16 08:30:27 UTC
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