MARY KATHERINE FARBAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001127

License Status

NOT RENEWED

Business

First Name

MARY KATHERINE

Last Name

FARBAK

Business Name

MARY KATHERINE FARBAK

Original Issue Date

07/14/1969

Effective Date

07/14/1969

City

SOUTH LAGUNA BEACH

State

Zip

92677

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005