License holder summary

STATE OF CALIFORNIA, DEPARTMENT OF CORRECTIONS is a Dental - Registered Provider licensed to practice in California. The address on file for STATE OF CALIFORNIA, DEPARTMENT OF CORRECTIONS is CHOWCHILLA. This licensed professional license is not current. The license was granted 11/07/1996 and expired on 11/30/1998.

California

Department of Consumer Affairs

STATE OF CALIFORNIA, DEPARTMENT OF CORRECTIONS
Dental - Registered Provider
License number
3456
Date granted
11/07/1996
Date expires
11/30/1998
Class
Dental - Registered Provider
Status
Canceled
Address
CHOWCHILLA
californialicensing.org
ID 19811833
LAST UPDATED 2024-05-01 21:07:36 UTC

This website is unaffiliated with the Department of Consumer Affairs. Please verify all information directly with the relevant official government authority.

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