NANCY LOUISE GUSTAFSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000608

License Status

NOT RENEWED

Business

First Name

NANCY LOUISE

Last Name

GUSTAFSON

Business Name

NANCY LOUISE GUSTAFSON

Original Issue Date

11/21/1962

Effective Date

11/21/1962

City

SANTA SUSANA

State

Zip

93063

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005