California
Department of Consumer Affairs
TEST DAN
Dental License
License number
12971
Date granted
01/01/1954
Date expires
07/31/1999
Class
Dental License
Status
Canceled
Address
624 JEFFERSON AVE LOS BANOS CA 93635
californialicensing.org
ID 19785081
LAST UPDATED 2026-07-31 01:36:26 UTC
LAST UPDATED 2026-07-31 01:36:26 UTC
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