License holder summary

SUDIBJO THOMAS SURJANTO is a Dental License licensed to practice in California. The address on file for SUDIBJO THOMAS SURJANTO is 13362 NEWPORT AVE #E TUSTIN CA 92780. This licensed professional license is current. The license was granted 11/03/1998 and expired on 01/31/2017.

California

Department of Consumer Affairs

SUDIBJO THOMAS SURJANTO
Dental License
License number
45983
Date granted
11/03/1998
Date expires
01/31/2017
Class
Dental License
Status
Current
Address
13362 NEWPORT AVE #E TUSTIN CA 92780
californialicensing.org
ID 19806489
LAST UPDATED 2024-03-06 01:20:50 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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