License holder summary

ELLSWORTH ELMER A is a Dental License licensed to practice in California. The address on file for ELLSWORTH ELMER A is 1975 ROYAL AVE SIMI VALLEY CA 93065. This licensed professional license is not current. The license was granted 01/01/1963 and expired on 10/31/1989.

California

Department of Consumer Affairs

ELLSWORTH ELMER A
Dental License
License number
17065
Date granted
01/01/1963
Date expires
10/31/1989
Class
Dental License
Status
Canceled
Address
1975 ROYAL AVE SIMI VALLEY CA 93065
californialicensing.org
ID 19803795
LAST UPDATED 2024-02-25 05:53:30 UTC

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