Licensee Name: | JACQUES ANNETTE LAURA |
License Type: | REGISTERED DENTAL HYGIENIST |
License Number: | 9676 |
License Status: | CANCELLED Definition |
Expiration Date: | January 31, 1984 |
Issue Date: | May 17, 1981 |
License or Registration Class: | NON |
County: | OUT OF STATE |
Actions: | No |