DEBORAH JEAN GUSTAFSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001704

License Status

INACTIVE

Business

First Name

DEBORAH JEAN

Last Name

GUSTAFSON

Business Name

DEBORAH JEAN GUSTAFSON

Original Issue Date

07/12/1972

Effective Date

07/15/2015

Expiration Date

09/30/2018

City

MISSION VIEJO

State

Zip

92692

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

06/07/2018