Licensee Name: | RALSTIN TRUDY L |
License Type: | REGISTERED DENTAL HYGIENIST |
License Number: | 3071 |
License Status: | CANCELLED Definition |
Expiration Date: | April 30, 1978 |
Issue Date: | July 22, 1968 |
License or Registration Class: | SLN |
County: | OUT OF STATE |
Actions: | No |