Nia Ethel Beasley
ExpiredCalifornia license 105632
License
- Licensed by
- Dental Board of California
- License number
- 105632
- Status
- Expired (Delinquent)
- First issued
- October 2, 2020
- Expired
- June 30, 2023
- License holder
- Nia Ethel Beasley
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3004 Gentilly Blvd
New Orleans, LA 70122-3808
New Orleans, LA 70122-3808
Orleans County