California
Department of Consumer Affairs
SURILLO SANTIAGO ALFONSO
Dental - Oral Conscious Sedation Certification
License number
114
Date granted
12/19/2000
Date expires
08/31/2017
Class
Dental - Oral Conscious Sedation Certification
Status
Current
Address
LA MESA
californialicensing.org
ID 11167048
LAST UPDATED 2026-05-21 10:46:29 UTC
LAST UPDATED 2026-05-21 10:46:29 UTC
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