New Mexico
Regulation & Licensing Department
Connie Geneva Ellison, DA
Dental Assistant
License number
DA3818
Date granted
10/23/2009
Date expires
06/30/2012
Class
Dental Assistant
Status
Revoked
Address
Cloudcroft, NM, 88317
licensingnm.com
ID 4327480
LAST UPDATED 2024-05-06 16:17:02 UTC
LAST UPDATED 2024-05-06 16:17:02 UTC
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