New York
Office of the Professions
SOUVANNARATH AMELIA BEA
Dental - Certified Dental Assistant
License number
001383
Date granted
01/06/2012
Date expires
09/30/2017
Class
Dental - Certified Dental Assistant
Status
Registered
Address
LIVERPOOL NY
nylicensing.org
ID 19471054
LAST UPDATED 2024-10-01 09:17:17 UTC
LAST UPDATED 2024-10-01 09:17:17 UTC
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