LISA ANN FASOLAK
Temporary Expanded Function Dental Assistant
Pennsylvania DF002009L Voided
This Pennsylvania license was held by LISA ANN FASOLAK. The license is no longer active. It was granted on 02/22/1999
LICENSE DETAILS
- License Number: DF002009L
- Category: Temporary EFDA
- Status: Voided
- Date Granted: 02/22/1999 (about 25 years ago)
LOCATIONS
A Address
FOUNTAINVILLE PA 18923