California
Department of Consumer Affairs
LONG D C III
Dental License
License number
18879
Date granted
01/01/1966
Date expires
06/30/2004
Class
Dental License
Status
Canceled
Address
97 SEABOROUGH NEWPORT BEACH CA 92660
californialicensing.org
ID 19788020
LAST UPDATED 2024-03-02 03:03:47 UTC
LAST UPDATED 2024-03-02 03:03:47 UTC
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