VIVIAN GRAE SALEM - Dentist License in Colorado | # 020003240

VIVIAN GRAE SALEM

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003240

License Status

NOT RENEWED

Business

N

First Name

VIVIAN GRAE

Last Name

SALEM

Business Name

VIVIAN GRAE SALEM

Original Issue Date

07/15/1977

Effective Date

07/15/1977

Expiration Date

04/01/1982

State

CO

Ever Disciplined

N

LastModifiedDate

10/12/2005