PHYLLIS A MARTINA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008825

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

MARTINA

Business Name

PHYLLIS A MARTINA

Original Issue Date

08/19/1996

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PLAYA DEL REY

State

Zip

90293

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/08/2006