California
Department of Consumer Affairs
BANTA-SMITH SUSAN KAY
Dental License
License number
31201
Date granted
05/12/1983
Date expires
10/31/2009
Class
Dental License
Status
Canceled
Address
1611 DOCTORS CIRCLE WILMINGTON NC 28401
californialicensing.org
ID 19809032
LAST UPDATED 2024-04-10 16:04:17 UTC
LAST UPDATED 2024-04-10 16:04:17 UTC
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