Michael Carey Defazio
ExpiredCalifornia license 106102
License
- Licensed by
- Dental Board of California
- License number
- 106102
- Status
- Expired (Delinquent)
- First issued
- April 14, 2021
- Expired
- November 30, 2024
- License holder
- Michael Carey Defazio
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
9800 Marquette Dr
Bethesda, MD 20817-1748
Bethesda, MD 20817-1748
Montgomery County