Amutha Raguram
ExpiredCalifornia license 104885
License
- Licensed by
- Dental Board of California
- License number
- 104885
- Status
- Expired (Delinquent)
- First issued
- May 18, 2020
- Expired
- December 31, 2021
- License holder
- Amutha Raguram
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
13 Brookside Dr
Darien, CT 06820-5004
Darien, CT 06820-5004
Fairfield County