Benjamin Jonah Statman
ExpiredCalifornia license 103941
License
- Licensed by
- Dental Board of California
- License number
- 103941
- Status
- Expired (Delinquent)
- First issued
- July 7, 2019
- Expired
- January 31, 2024
- License holder
- Benjamin Jonah Statman
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
5445 Babcock Ave
Valley Village, CA 91607
Valley Village, CA 91607
Los Angeles County