| Licensee Name: | GUNDERSEN ROXANNE RENEE |
| License Type: | REGISTERED DENTAL HYGIENIST - EXTENDED FUNCTIONS |
| License Number: | 15 |
| License Status: | INACTIVE Definition |
| Expiration Date: | September 30, 2015 |
| Issue Date: | September 27, 2001 |
| County: | SANTA CRUZ |
| Actions: | No |