California
Department of Consumer Affairs
DOLATA MACIEJ W
Dental License
License number
60821
Date granted
08/25/2011
Date expires
04/30/2015
Class
Dental License
Status
Delinquent
Address
711 HAMPSHIRE STREET SAN FRANCISCO CA 94110
californialicensing.org
ID 19797628
LAST UPDATED 2024-03-29 04:04:05 UTC
LAST UPDATED 2024-03-29 04:04:05 UTC
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