License holder summary

JOHANSEN NIELS C is a Dental License licensed to practice in California. The address on file for JOHANSEN NIELS C is 55 MISSION CIRCLE SANTA ROSA CA 95409. This licensed professional license is not current. The license was granted 01/01/1968 and expired on 05/31/2011.

California

Department of Consumer Affairs

JOHANSEN NIELS C
Dental License
License number
19907
Date granted
01/01/1968
Date expires
05/31/2011
Class
Dental License
Status
DELINQUENT, SELF EMPLOYED AT 1 LOCATION
Address
55 MISSION CIRCLE SANTA ROSA CA 95409
californialicensing.org
ID 19803035
LAST UPDATED 2026-06-30 13:26:50 UTC

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