License holder summary

FORTMAN MICHAEL F is a Dental License licensed to practice in California. The address on file for FORTMAN MICHAEL F is 711 W 17TH STREET E-1 COSTA MESA CA 92627. This licensed professional license is not current. The license was granted 01/01/1968 and expired on 12/31/2000.

California

Department of Consumer Affairs

FORTMAN MICHAEL F
Dental License
License number
19877
Date granted
01/01/1968
Date expires
12/31/2000
Class
Dental License
Status
Canceled
Address
711 W 17TH STREET E-1 COSTA MESA CA 92627
californialicensing.org
ID 19771920
LAST UPDATED 2024-03-12 10:12:05 UTC

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