Prajna Banan
InactiveCalifornia license 102179
License
- Licensed by
- Dental Board of California
- License number
- 102179
- Status
- Inactive (CurrentInactive)
- First issued
- November 21, 2017
- Expires
- December 31, 2027
- License holder
- Prajna Banan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1 West Court Square,, Ste325
Decatur, GA 30030
Decatur, GA 30030
De Kalb County