ERIC ALLAN FORT
Dentistry - Temporary Anesthesia Permit - Restricted I
Pennsylvania TDP000309 Voided
This Pennsylvania license was held by ERIC ALLAN FORT. The license is no longer active. It was granted on 07/12/2007 and expired on 07/11/2008
LICENSE DETAILS
- License Number: TDP000309
- Category: Temporary Anesthesia Permit-Restricted I
- Status: Voided
- Date Granted: 07/12/2007 (almost 17 years ago)
- Expiry Date: 07/11/2008 (almost 16 years ago)
LOCATIONS
A Address
WEST CHESTER PA 19380