License holder summary

LONG JERRIE_ANN VAN VICKLE is a Dental Hygienist licensed to practice in California. This licensed professional license is not current. The license was granted 05/18/1972 and expired on 10/31/2017.

California

Department of Consumer Affairs

LONG JERRIE_ANN VAN VICKLE
Dental Hygienist
License number
4602
Date granted
05/18/1972
Date expires
10/31/2017
Class
Dental Hygienist
Status
Inactive
californialicensing.org
ID 11206409
LAST UPDATED 2024-02-01 12:59:59 UTC

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