Keely Aleen Walgama
ExpiredCalifornia license 104744
License
- Licensed by
- Dental Board of California
- License number
- 104744
- Status
- Expired (Delinquent)
- First issued
- January 3, 2020
- Expired
- March 31, 2022
- License holder
- Keely Aleen Walgama
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3340 Sawtelle Blvd #103
Los Angeles, CA 90066
Los Angeles, CA 90066
Los Angeles County