Stacy H Black, DA
Dental Assistant
New Mexico DA2809 Revoked
This New Mexico license was held by Stacy H Black, DA. The license is no longer active. It was granted on 04/11/2005 and expired on 06/30/2008
LICENSE DETAILS
- License Number: DA2809
- Category: Dental Assistant
- Status: Revoked
- Date Granted: 04/11/2005 (about 19 years ago)
- Expiry Date: 06/30/2008 (almost 16 years ago)
LOCATIONS
A Address
Santa Fe, NM, 87501