License holder summary

CAPITOL AVENUE DENTAL PRACTICE, DR. KISSEVICH is a Dental - Fictitious Name licensed to practice in California. The address on file for CAPITOL AVENUE DENTAL PRACTICE, DR. KISSEVICH is SACRAMENTO. This licensed professional license is not current. The license was granted 12/09/2003 and expired on 06/30/2008.

California

Department of Consumer Affairs

CAPITOL AVENUE DENTAL PRACTICE, DR. KISSEVICH
Dental - Fictitious Name
License number
4635
Date granted
12/09/2003
Date expires
06/30/2008
Class
Dental - Fictitious Name
Status
Canceled
Address
SACRAMENTO
californialicensing.org
ID 10890002
LAST UPDATED 2026-04-21 05:49:54 UTC

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