| Licensee Name: | RAKOV DOROTHEA A |
| License Type: | REGISTERED DENTAL HYGIENIST |
| License Number: | 2547 |
| License Status: | CANCELLED Definition |
| Expiration Date: | April 30, 1974 |
| Issue Date: | July 24, 1966 |
| License or Registration Class: | NON |
| County: | OUT OF STATE |
| Actions: | No |