Licensee Name: | MARTIN ELMEZEN OLIVERIO |
License Type: | REGISTERED DENTAL HYGIENIST IN ALTERNATIVE PRACTICE |
License Number: | 281 |
License Status: | RENEWED/CURRENT Definition |
Expiration Date: | June 30, 2016 |
Issue Date: | January 06, 2010 |
County: | LAKE |
Actions: | No |