California
Department of Consumer Affairs
SAMUELSEN RICHARD P
Dental License
License number
13255
Date granted
01/01/1955
Date expires
07/31/1991
Class
Dental License
Status
Canceled
Address
2800 W MAGNOLIA BLVD BURBANK CA 91505
californialicensing.org
ID 19769141
LAST UPDATED 2024-04-06 09:58:26 UTC
LAST UPDATED 2024-04-06 09:58:26 UTC
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