License holder summary

CALIFORNIA STATE MILITARY RESERVE is a Dental - Registered Provider licensed to practice in California. The address on file for CALIFORNIA STATE MILITARY RESERVE is WESTLAKE VILLAGE. This licensed professional license is not current. The license was granted 05/13/1988 and expired on 05/31/1990.

California

Department of Consumer Affairs

CALIFORNIA STATE MILITARY RESERVE
Dental - Registered Provider
License number
2363
Date granted
05/13/1988
Date expires
05/31/1990
Class
Dental - Registered Provider
Status
Canceled
Address
WESTLAKE VILLAGE
californialicensing.org
ID 19814346
LAST UPDATED 2024-02-14 03:49:34 UTC

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