| 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 |