MARCELLE DESRONVIL-LISSADE
Dentistry - Temporary Anesthesia Permit - Restricted I
Pennsylvania TDP000174 Voided
This Pennsylvania license was held by MARCELLE DESRONVIL-LISSADE. The license is no longer active. It was granted on 06/11/2005 and expired on 06/10/2006
LICENSE DETAILS
- License Number: TDP000174
- Category: Temporary Anesthesia Permit-Restricted I
- Status: Voided
- Date Granted: 06/11/2005 (about 21 years ago)
- Expiry Date: 06/10/2006 (about 20 years ago)
LOCATIONS
A Address
Charlotte NC 28269