License holder summary

GUSTAVESON THEODORE R is a Dental License licensed to practice in California. The address on file for GUSTAVESON THEODORE R is 508 E YOSEMITE AVE MADERA CA 93637. This licensed professional license is not current. The license was granted 01/01/1958 and expired on 11/30/2009.

California

Department of Consumer Affairs

GUSTAVESON THEODORE R
Dental License
License number
14766
Date granted
01/01/1958
Date expires
11/30/2009
Class
Dental License
Status
Deceased
Address
508 E YOSEMITE AVE MADERA CA 93637
californialicensing.org
ID 19785282
LAST UPDATED 2024-04-18 18:26:33 UTC

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