Licensee Name: | MART MARILYNN MAXINE |
License Type: | REGISTERED DENTAL HYGIENIST |
License Number: | 9357 |
License Status: | CANCELLED Definition |
Expiration Date: | December 31, 1984 |
Issue Date: | June 22, 1980 |
License or Registration Class: | SLN |
County: | CONTRA COSTA |
Actions: | No |