California
Department of Consumer Affairs
KOERNIANINGSIH LYDIA
Dental License
License number
48488
Date granted
10/10/2001
Date expires
07/31/2016
Class
Dental License
Status
Current
Address
1125 EAST 17TH ST SANTA ANA CA 92701
californialicensing.org
ID 19801674
LAST UPDATED 2024-04-11 03:30:53 UTC
LAST UPDATED 2024-04-11 03:30:53 UTC
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