Ma Excelsa Progio Serabian
ExpiredCalifornia license 102071
License
- Licensed by
- Dental Board of California
- License number
- 102071
- Status
- Expired (Delinquent)
- First issued
- September 29, 2017
- Expired
- December 31, 2025
- License holder
- Ma Excelsa Progio Serabian
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
166 Center Street
Massena, NY 13662
Massena, NY 13662
St. Lawrence County