California
Department of Consumer Affairs
BASIC LIFE SUPPORT
Dental - Registered Provider
License number
3198
Date granted
05/05/1994
Date expires
05/31/1996
Class
Dental - Registered Provider
Status
Canceled
Address
AZUSA
californialicensing.org
ID 19811598
LAST UPDATED 2024-04-29 18:33:51 UTC
LAST UPDATED 2024-04-29 18:33:51 UTC
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