Nicole F. C de Baca, DA

Dental Assistant

New Mexico  DA3779   Revoked

This New Mexico license was held by Nicole F. C de Baca, DA. The license is no longer active. It was granted on 09/24/2009 and expired on 06/30/2012

LICENSE DETAILS

  • License Number: DA3779
  • Category: Dental Assistant
  • Status: Revoked
  • Date Granted: 09/24/2009 (almost 17 years ago)
  • Expiry Date: 06/30/2012 (about 14 years ago)

LOCATIONS

A Address

Albuquerque, NM, 87111