Alaska
Division of Corporations, Business and Professional Licensing
ELIZA VIDALES FORGUE
Hygienist Licensed To Administer Local Anesthetic Agents
License number
250
Date granted
04/07/1992
Date expires
12/31/2014
Class
Hygienist Licensed To Administer Local Anesthetic Agents
Status
Licensed
Address
1064 NE GRANDVIEW DR ROSEBURG OR 97470
alaskalicensing.com
ID 20301497
LAST UPDATED 2024-02-21 12:49:41 UTC
LAST UPDATED 2024-02-21 12:49:41 UTC
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