California
Department of Consumer Affairs
MA BOOE IL
Dental License
License number
28953
Date granted
07/08/1980
Date expires
10/31/1996
Class
Dental License
Status
Deceased
Address
2917 NICADA DRIVE LOS ANGELES CA 90077
californialicensing.org
ID 19783953
LAST UPDATED 2024-04-07 12:13:23 UTC
LAST UPDATED 2024-04-07 12:13:23 UTC
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