Licensee Name: | FAIRWEATHER JEANNE |
License Type: | REGISTERED DENTAL HYGIENIST |
License Number: | 410 |
License Status: | CANCELLED Definition |
Expiration Date: | September 30, 2008 |
Issue Date: | August 21, 1948 |
License or Registration Class: | NON |
County: | LOS ANGELES |
Actions: | No |