Peter Russell Ivey

License

Licensed by

Dental Board of California

License number

100629

Status

Expired (Delinquent)

First issued

August 3, 2016

Expired

November 30, 2023

License holder

Peter Russell Ivey

Entity type

Individual

Classifications

• Dental License Dental

More from the license record

License type code

4401

Other California licenses under this name

• CA
  Peter Russell Ivey

  License 4105

  Oral Conscious Sedation Certificate
  Expired

  Coronado, CA

  Expired Nov 30, 2023

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