Ivan Anthony Halim
InactiveCalifornia license 105396
License
- Licensed by
- Dental Board of California
- License number
- 105396
- Status
- Inactive (CurrentInactive)
- First issued
- August 28, 2020
- Expires
- June 30, 2028
- License holder
- Ivan Anthony Halim
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
13041 Appleton Way
Los Angeles, CA 90066-2209
Los Angeles, CA 90066-2209
Los Angeles County