LEILANI JOY TABAFUNDA RULIVA - Dentist License in California | # 020009460

LEILANI JOY TABAFUNDA RULIVA

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009460

License Status

INACTIVE

Business

N

First Name

LEILANI JOY

Middle

TABAFUNDA

Last Name

RULIVA

Business Name

LEILANI JOY TABAFUNDA RULIVA

Original Issue Date

06/14/1999

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

CA

Ever Disciplined

N

LastModifiedDate

07/24/2006