Leah Marie Carroll
ExpiredCalifornia license 104084
License
- Licensed by
- Dental Board of California
- License number
- 104084
- Status
- Expired (Delinquent)
- First issued
- July 18, 2019
- Expired
- October 31, 2021
- License holder
- Leah Marie Carroll
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1128 Justinian Street SE
Leesburg, VA 20175
Leesburg, VA 20175
Loudoun County