New Mexico
Regulation & Licensing Department
Theresa Marie Carrillo, DA
Dental Assistant
License number
DA2526
Date granted
06/24/2003
Date expires
06/30/2009
Class
Dental Assistant
Status
Revoked
Address
Rio Rancho, NM, 87124
licensingnm.com
ID 4322813
LAST UPDATED 2024-04-26 10:59:56 UTC
LAST UPDATED 2024-04-26 10:59:56 UTC
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