Kadijeh Shohreh Tabassian South
ExpiredCalifornia license 101864
License
- Licensed by
- Dental Board of California
- License number
- 101864
- Status
- Expired (Delinquent)
- First issued
- August 7, 2017
- Expired
- July 31, 2026
- License holder
- Kadijeh Shohreh Tabassian South
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1170 Sacramento St
Unit#12B
San Francisco, CA 94108-1943
Unit#12B
San Francisco, CA 94108-1943
San Francisco County