Lena Kayleen Bortnem
ExpiredCalifornia license 104227
License
- Licensed by
- Dental Board of California
- License number
- 104227
- Status
- Expired (Delinquent)
- First issued
- August 2, 2019
- Expired
- June 30, 2024
- License holder
- Lena Kayleen Bortnem
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2564 Raleigh Way
El Dorado Hills, CA 95762
El Dorado Hills, CA 95762
El Dorado County