California
Department of Consumer Affairs
POERWANTO ERLINE DIONA
Dental License
License number
62687
Date granted
07/26/2013
Date expires
01/31/2016
Class
Dental License
Status
Current
Address
PO BOX 7194 STOCKTON CA 95267
californialicensing.org
ID 19804565
LAST UPDATED 2026-06-16 18:46:56 UTC
LAST UPDATED 2026-06-16 18:46:56 UTC
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