ANDREA SUE RAIZEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003346

License Status

INACTIVE

Business

First Name

ANDREA SUE

Last Name

RAIZEN

Business Name

ANDREA SUE RAIZEN

Original Issue Date

08/24/1977

Effective Date

08/24/1977

Expiration Date

09/30/1990

City

RANCHO SANTA MARGARI

State

Zip

92688

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005