California
Department of Consumer Affairs
SOUTHERN CALIFORNIA CHAPTER OF THE CROWN COUNCIL
Dental - Registered Provider
License number
4012
Date granted
06/30/2002
Date expires
06/30/2006
Class
Dental - Registered Provider
Status
Delinquent
Address
CHATSWORTH
californialicensing.org
ID 19811812
LAST UPDATED 2024-04-20 04:48:56 UTC
LAST UPDATED 2024-04-20 04:48:56 UTC
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