Atijah Jamari Collins
ExpiredCalifornia license 103575
License
- Licensed by
- Dental Board of California
- License number
- 103575
- Status
- Expired (Delinquent)
- First issued
- March 4, 2019
- Expired
- March 31, 2022
- License holder
- Atijah Jamari Collins
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1600 Ardmore Ave
Hermosa Beach, CA 90254-3006
Hermosa Beach, CA 90254-3006
Los Angeles County