DIANE M RANDOLPH - Dentist License in California | # 020000801

DIANE M RANDOLPH

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000801

License Status

NOT RENEWED

Business

N

First Name

DIANE M

Last Name

RANDOLPH

Business Name

DIANE M RANDOLPH

Original Issue Date

07/15/1965

Effective Date

07/15/1965

Expiration Date

09/30/1984

State

CA

Ever Disciplined

N

LastModifiedDate

10/12/2005