California
Department of Consumer Affairs
WALLACE MATTHEW JOHN
Dental - Conscious Sedation Permit
License number
401
Date granted
10/22/2001
Date expires
06/30/2004
Class
Dental - Conscious Sedation Permit
Status
Canceled
Address
BURBANK
californialicensing.org
ID 10899880
LAST UPDATED 2024-03-06 03:21:30 UTC
LAST UPDATED 2024-03-06 03:21:30 UTC
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