Mari Lou Carrillo, DA

Dental Assistant

New Mexico  DA2509   Revoked

This New Mexico license was held by Mari Lou Carrillo, DA. The license is no longer active. It was granted on 05/09/2003 and expired on 06/30/2012

LICENSE DETAILS

  • License Number: DA2509
  • Category: Dental Assistant
  • Status: Revoked
  • Date Granted: 05/09/2003 (about 23 years ago)
  • Expiry Date: 06/30/2012 (almost 14 years ago)

LOCATIONS

A Address

Los Lunas, NM, 87031