Rebecca Ellerin Grodko
ExpiredCalifornia license 107024
License
- Licensed by
- Dental Board of California
- License number
- 107024
- Status
- Expired (Delinquent)
- First issued
- September 30, 2021
- Expired
- July 31, 2022
- License holder
- Rebecca Ellerin Grodko
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
6450 Lindenhurst Ave
Los Angeles, CA 90048
Los Angeles, CA 90048
Los Angeles County