Mario Bradford Antonioni
ExpiredCalifornia license 105207
License
- Licensed by
- Dental Board of California
- License number
- 105207
- Status
- Expired (Delinquent)
- First issued
- August 6, 2020
- Expired
- November 30, 2024
- License holder
- Mario Bradford Antonioni
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
5514 Stadium Dr
Madison, WI 53705-4642
Madison, WI 53705-4642
Dane County