Prashant Charugundla
ExpiredCalifornia license 104501
License
- Licensed by
- Dental Board of California
- License number
- 104501
- Status
- Expired (Delinquent)
- First issued
- October 25, 2019
- Expired
- July 31, 2023
- License holder
- Prashant Charugundla
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2310 Ruhland Ave
Redondo Beach, CA 90278-2502
Redondo Beach, CA 90278-2502
Los Angeles County