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 |