License holder summary

BASIAGO JONATHAN R is a Dental License licensed to practice in California. The address on file for BASIAGO JONATHAN R is 2703 PETALUMA AVENUE LONG BEACH CA 90815. This licensed professional license is current. The license was granted 09/18/2015 and expired on 04/30/2016.

California

Department of Consumer Affairs

BASIAGO JONATHAN R
Dental License
License number
65149
Date granted
09/18/2015
Date expires
04/30/2016
Class
Dental License
Status
Current
Address
2703 PETALUMA AVENUE LONG BEACH CA 90815
californialicensing.org
ID 31316424
LAST UPDATED 2024-02-26 10:33:06 UTC

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