Michael A Debourg II
ActiveCalifornia license 110650
License
- Licensed by
- Dental Board of California
- License number
- 110650
- Status
- Active (Current)
- First issued
- August 27, 2024
- Expires
- April 30, 2027
- License holder
- Michael A Debourg II
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1120 W 6th St
Apt. 1417
Los Angeles, CA 90017-4905
Apt. 1417
Los Angeles, CA 90017-4905
Los Angeles County