Licensee Name: | KLOCKENTEGER LISA LOUISE |
License Type: | REGISTERED DENTAL HYGIENIST IN ALTERNATIVE PRACTICE |
License Number: | 52 |
License Status: | RENEWED/CURRENT Definition |
Expiration Date: | October 31, 2015 |
Issue Date: | August 31, 2004 |
County: | SAN LUIS OBISPO |
Actions: | No |