Jeyanthi Bhaheetharan
ExpiredCalifornia license 104174
License
- Licensed by
- Dental Board of California
- License number
- 104174
- Status
- Expired (Delinquent)
- First issued
- July 26, 2019
- Expired
- July 31, 2022
- License holder
- Jeyanthi Bhaheetharan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
955 Deep Valley Dr
#3417
Palos Verdes Pnsl, CA 90274-3876
#3417
Palos Verdes Pnsl, CA 90274-3876
Los Angeles County