EFTA01207629.pdf

1.7-E";k7iEN K441 n SI%tllidh, 1 )1 )ti Shublak, nr\S ittwegigget. 1Pair ire ailpt WM. IV,O, . _ State ql.Vei .1h 1( ) B O A R D O F D E N T A L HEALTH CARk-- ‘Atit i •i lL.1 . 1 , 4 4 Santa Fe, NNt 8750:, PO Box 25101 This is to ccutify c lt,It K a r y na S h u li a k , D D S s of h, ' I\1,•‘‘ 1\1, , a I la lit al I ), I I „i mplied w it h th e p ro vis io n ►„ 1 ) , 10 Having co ran tm i a>t liccitz.,. ,„ is h er eb y g Health Care Act tssito Date(s): Ditto 14,,xintliti Issue Date: ON SPIC UO USL Y P O ST E, ti IN I 'I THIS LICENSE MUST BE C EFTA01207629