FREDERICK CARL LALLY
Dentistry - Temporary Anesthesia Permit - Restricted I
Pennsylvania TDP000060 Voided
This Pennsylvania license was held by FREDERICK CARL LALLY. The license is no longer active. It was granted on 03/21/2005 and expired on 03/21/2006
LICENSE DETAILS
- License Number: TDP000060
- Category: Temporary Anesthesia Permit-Restricted I
- Status: Voided
- Date Granted: 03/21/2005 (about 20 years ago)
- Expiry Date: 03/21/2006 (about 19 years ago)
LOCATIONS
A Address
TUNKHANNOCK PA 18657