PHYLLIS A MARTINA - Dentist License in California | # 020008825

PHYLLIS A MARTINA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008825

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS A

Last Name

MARTINA

Business Name

PHYLLIS A MARTINA

Original Issue Date

08/19/1996

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

CA

Ever Disciplined

N

LastModifiedDate

11/08/2006