California
Department of Consumer Affairs
CERTIFIED CPR
Dental - Registered Provider
License number
3587
Date granted
12/22/1997
Date expires
12/31/2001
Class
Dental - Registered Provider
Status
Delinquent
Address
PLAYA DEL REY
californialicensing.org
ID 19813134
LAST UPDATED 2026-07-05 13:22:46 UTC
LAST UPDATED 2026-07-05 13:22:46 UTC
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