New Mexico
Regulation & Licensing Department
Jo Ann Clark, DA
Dental Assistant
License number
DA3738
Date granted
07/20/2009
Date expires
06/30/2012
Class
Dental Assistant
Status
Revoked
Address
Fairacres, NM, 88033
licensingnm.com
ID 4324292
LAST UPDATED 2024-03-25 08:17:01 UTC
LAST UPDATED 2024-03-25 08:17:01 UTC
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