New Mexico
Regulation & Licensing Department
Mari Lou Carrillo, DA
Dental Assistant
License number
DA2509
Date granted
05/09/2003
Date expires
06/30/2012
Class
Dental Assistant
Status
Revoked
Address
Los Lunas, NM, 87031
licensingnm.com
ID 4322774
LAST UPDATED 2024-03-16 05:14:50 UTC
LAST UPDATED 2024-03-16 05:14:50 UTC
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