TRACI RAE FORD
Temporary Expanded Function Dental Assistant
Pennsylvania DFT002635 Voided
This Pennsylvania license was held by TRACI RAE FORD. The license is no longer active. It was granted on 09/14/2005
LICENSE DETAILS
- License Number: DFT002635
- Category: Temporary EFDA
- Status: Voided
- Date Granted: 09/14/2005 (almost 19 years ago)
LOCATIONS
A Address
Stevens PA 17578