California
Department of Consumer Affairs
THOMPSON DERRICK LANE
Dental License
License number
40893
Date granted
05/18/1993
Date expires
08/31/2016
Class
Dental License
Status
Current
Address
11645 WILSHIRE BLVD #703 LOS ANGELES CA 90025
californialicensing.org
ID 19784803
LAST UPDATED 2026-07-11 22:41:45 UTC
LAST UPDATED 2026-07-11 22:41:45 UTC
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