California
Department of Consumer Affairs
PERRY MODE R
Dental License
License number
11021
Date granted
01/01/1949
Date expires
06/30/1996
Class
Dental License
Status
Canceled
Address
6631 AVENIDA LA REINA LA JOLLA CA 92037
californialicensing.org
ID 19780021
LAST UPDATED 2024-03-11 15:36:10 UTC
LAST UPDATED 2024-03-11 15:36:10 UTC
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