License holder summary

SUMARDI KUSUMO is a Dental License licensed to practice in California. The address on file for SUMARDI KUSUMO is 1965 FOOTHILL BLVD STE L LA VERNE CA 91750. This licensed professional license is current. The license was granted 05/02/1994 and expired on 08/31/2017.

California

Department of Consumer Affairs

SUMARDI KUSUMO
Dental License
License number
41680
Date granted
05/02/1994
Date expires
08/31/2017
Class
Dental License
Status
Current
Address
1965 FOOTHILL BLVD STE L LA VERNE CA 91750
californialicensing.org
ID 19780411
LAST UPDATED 2024-04-21 02:17:48 UTC

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