Kathy Annette Fogleman, DA
Dental Assistant
New Mexico DA2679 Revoked
This New Mexico license was held by Kathy Annette Fogleman, DA. The license is no longer active. It was granted on 07/08/2004 and expired on 06/30/2013
LICENSE DETAILS
- License Number: DA2679
- Category: Dental Assistant
- Status: Revoked
- Date Granted: 07/08/2004 (almost 22 years ago)
- Expiry Date: 06/30/2013 (almost 13 years ago)
LOCATIONS
A Address
Albuquerque, NM, 87108