FERNANDA C FONSECA - Dentist License in California | # 020014902

FERNANDA C FONSECA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014902

License Status

NOT RENEWED

Business

N

First Name

FERNANDA

Middle

C

Last Name

FONSECA

Business Name

FERNANDA C FONSECA

Original Issue Date

08/28/2014

Effective Date

08/28/2014

Expiration Date

09/30/2015

State

CA

Ever Disciplined

N

LastModifiedDate

04/25/2016