Licensee Name: | HAGERTY JACQUELINE CAROL |
License Type: | REGISTERED DENTAL HYGIENIST IN ALTERNATIVE PRACTICE |
License Number: | 99 |
License Status: | RENEWED/CURRENT Definition |
Expiration Date: | April 30, 2015 |
Issue Date: | April 26, 2005 |
County: | SISKIYOU |
Actions: | No |