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
LAST UPDATED 2024-03-12 10:12:05 UTC
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