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 |