California
Department of Consumer Affairs
FULLER ELLIS L
Dental License
License number
61275
Date granted
04/13/2012
Date expires
03/31/2016
Class
Dental License
Status
Current
Address
160 BAYWOOD AVE. MENLO PARK CA 94025
californialicensing.org
ID 19785764
LAST UPDATED 2024-05-15 06:08:02 UTC
LAST UPDATED 2024-05-15 06:08:02 UTC
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