License holder summary

DA COSTA-BYSTROM AUDREY ELAINE is a Dental License licensed to practice in California. The address on file for DA COSTA-BYSTROM AUDREY ELAINE is 28862 CALLE VISTA LAGUNA NIGUEL CA 92677. This licensed professional license is not current. The license was granted 03/19/1976 and expired on 02/28/2017.

California

Department of Consumer Affairs

DA COSTA-BYSTROM AUDREY ELAINE
Dental License
License number
25502
Date granted
03/19/1976
Date expires
02/28/2017
Class
Dental License
Status
Inactive
Address
28862 CALLE VISTA LAGUNA NIGUEL CA 92677
californialicensing.org
ID 19780799
LAST UPDATED 2024-05-05 05:57:20 UTC

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