ANDREW S BALTA
Dentistry - Temporary Anesthesia Permit - Unrestricted
Pennsylvania TDA000070 Deceased
This Pennsylvania license was held by ANDREW S BALTA. The license is no longer active. It was granted on 03/15/2005 and expired on 03/15/2006
LICENSE DETAILS
- License Number: TDA000070
- Category: Temporary Anesthesia Permit-Unrestricted
- Status: Deceased
- Date Granted: 03/15/2005 (about 19 years ago)
- Expiry Date: 03/15/2006 (about 18 years ago)
LOCATIONS
A Address
WASHINGTON PA 15301