Karl Theodore Supal
ActiveCalifornia license 103819
License
- Licensed by
- Dental Board of California
- License number
- 103819
- Status
- Active (Current)
- First issued
- June 20, 2019
- Expired
- October 31, 2026
- License holder
- Karl Theodore Supal
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Other California licenses under this name
-
CA
ActiveLos Altos, CAExpired Oct 31, 2026
Contact
100 1st St Unit 307
Los Altos, CA 94022-2689
Los Altos, CA 94022-2689
Santa Clara County