California
Department of Consumer Affairs
CPR FOR LIFE
Dental - Registered Provider
License number
3089
Date granted
06/09/1993
Date expires
06/30/1999
Class
Dental - Registered Provider
Status
Canceled
Address
CONCORD
californialicensing.org
ID 19811875
LAST UPDATED 2026-06-05 04:21:32 UTC
LAST UPDATED 2026-06-05 04:21:32 UTC
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