License holder summary

SANTA CLARA SOUTH COUNTY REG. OCCUP. PROG. is a Dental - Registered Provider licensed to practice in California. The address on file for SANTA CLARA SOUTH COUNTY REG. OCCUP. PROG. is GILROY. This licensed professional license is not current. The license was granted 03/05/2012 and expired on 03/31/2014.

California

Department of Consumer Affairs

SANTA CLARA SOUTH COUNTY REG. OCCUP. PROG.
Dental - Registered Provider
License number
5091
Date granted
03/05/2012
Date expires
03/31/2014
Class
Dental - Registered Provider
Status
Delinquent
Address
GILROY
californialicensing.org
ID 19812203
LAST UPDATED 2026-04-25 20:58:03 UTC

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