License holder summary

LARREA RAFAEL JOSE is a Dental - Additional Office licensed to practice in California. The address on file for LARREA RAFAEL JOSE is 5819 VAN NUYS BLVD STE A VAN NUYS CA 91401. This licensed professional license is not current. The license was granted 03/15/1980 and expired on 04/30/1984.

California

Department of Consumer Affairs

LARREA RAFAEL JOSE
Dental - Additional Office
License number
2617
Date granted
03/15/1980
Date expires
04/30/1984
Class
Dental - Additional Office
Status
Canceled
Address
5819 VAN NUYS BLVD STE A VAN NUYS CA 91401
californialicensing.org
ID 10876037
LAST UPDATED 2024-03-02 15:27:18 UTC

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