Elise Kristine Fernandez
ExpiredCalifornia license 103272
License
- Licensed by
- Dental Board of California
- License number
- 103272
- Status
- Expired (Delinquent)
- First issued
- September 24, 2018
- Expired
- February 28, 2025
- License holder
- Elise Kristine Fernandez
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
655 N Harper Ave
West Hollywood, CA 90048-2224
West Hollywood, CA 90048-2224
Los Angeles County