Paul Michael Polyviou
ExpiredCalifornia license 104815
License
- Licensed by
- Dental Board of California
- License number
- 104815
- Status
- Expired (Delinquent)
- First issued
- February 25, 2020
- Expired
- October 31, 2022
- License holder
- Paul Michael Polyviou
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
23702 Chicory Rd
Grosse Ile, MI 48138-2190
Grosse Ile, MI 48138-2190
Wayne County