MICKI LYNN STAFKO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005091

License Status

NOT RENEWED

Business

First Name

MICKI LYNN

Last Name

STAFKO

Business Name

MICKI LYNN STAFKO

Original Issue Date

11/17/1982

Effective Date

11/17/1982

Expiration Date

09/30/1994

City

CANYON COUNTRY

State

Zip

91351

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005