Licensee Name: | WENDT DEBRA RAE |
License Type: | REGISTERED DENTAL HYGIENIST |
License Number: | 4330 |
License Status: | CANCELLED Definition |
Expiration Date: | April 30, 1976 |
Issue Date: | June 29, 1971 |
License or Registration Class: | NON |
County: | OUT OF STATE |
Actions: | No |