California
Department of Consumer Affairs
DOAN LOC N
Dental License
License number
61609
Date granted
08/01/2012
Date expires
04/30/2015
Class
Dental License
Status
Delinquent
Address
1964 TRUDIE DRIVE RANCHO PALOS VERDES CA 90275
californialicensing.org
ID 19792199
LAST UPDATED 2026-03-16 08:22:20 UTC
LAST UPDATED 2026-03-16 08:22:20 UTC
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