NICOLETTE BOUSTANI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003829

License Status

NOT RENEWED

Business

First Name

NICOLETTE

Last Name

BOUSTANI

Business Name

NICOLETTE BOUSTANI

Original Issue Date

06/29/1979

Effective Date

06/29/1979

Expiration Date

09/30/1984

City

COSTA MESA

State

Zip

92626

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005