New Mexico
Regulation & Licensing Department
Tasha C. Cisneros, DA
Dental Assistant
License number
DA2669
Date granted
06/18/2004
Date expires
06/30/2013
Class
Dental Assistant
Status
Revoked
Address
Santa Fe, NM, 87505
licensingnm.com
ID 4324265
LAST UPDATED 2024-05-16 07:28:53 UTC
LAST UPDATED 2024-05-16 07:28:53 UTC
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