| 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 |