Licensee Name: | HARRIS DEANNE ARLENE |
License Type: | REGISTERED DENTAL HYGIENIST |
License Number: | 5784 |
License Status: | CANCELLED Definition |
Expiration Date: | January 31, 1992 |
Issue Date: | January 01, 1974 |
License or Registration Class: | SLN |
County: | OUT OF STATE |
Actions: | No |