Licensee Name: | MARTEL CHASTITY MARIE |
License Type: | REGISTERED DENTAL HYGIENIST |
License Number: | 19259 |
License Status: | CANCELLED Definition |
Expiration Date: | October 31, 2008 |
Issue Date: | November 03, 2000 |
License or Registration Class: | X |
County: | OUT OF STATE |
Actions: | No |