LEILANI JOY TABAFUNDA RULIVA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009460

License Status

INACTIVE

Business

First Name

LEILANI JOY

Middle

TABAFUNDA

Last Name

RULIVA

Business Name

LEILANI JOY TABAFUNDA RULIVA

Original Issue Date

06/14/1999

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHULA VISTA

State

Zip

91911

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

07/24/2006