Theresa Marie Carrillo, DA
Dental Assistant
New Mexico DA2526 Revoked
This New Mexico license was held by Theresa Marie Carrillo, DA. The license is no longer active. It was granted on 06/24/2003 and expired on 06/30/2009
LICENSE DETAILS
- License Number: DA2526
- Category: Dental Assistant
- Status: Revoked
- Date Granted: 06/24/2003 (almost 23 years ago)
- Expiry Date: 06/30/2009 (almost 17 years ago)
LOCATIONS
A Address
Rio Rancho, NM, 87124