Luis Pedro Miron Carcamo
ActiveCalifornia license 102172
License
- Licensed by
- Dental Board of California
- License number
- 102172
- Status
- Active (Current)
- First issued
- November 17, 2017
- Expires
- May 31, 2028
- License holder
- Luis Pedro Miron Carcamo
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4303 Creston Dr
Champaign, IL 61822-9342
Champaign, IL 61822-9342
Champaign County