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 The license is no longer active.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 (almost 21 years ago)
- Expiry Date: 06/30/2012 (almost 12 years ago)
LOCATIONS
A Address
Los Lunas, NM, 87031