SUSAN FAHAM - Dentist License in California | # 020009305

SUSAN FAHAM

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009305

License Status

INACTIVE

Business

N

First Name

SUSAN

Last Name

FAHAM

Business Name

SUSAN FAHAM

Original Issue Date

08/21/1998

Effective Date

08/21/1998

Expiration Date

09/30/2002

State

CA

Ever Disciplined

N

LastModifiedDate

10/17/2005