Susan Sup
ActiveCalifornia license 112486
License
- Licensed by
- Dental Board of California
- License number
- 112486
- Status
- Active (Current)
- First issued
- October 31, 2025
- Expires
- August 31, 2027
- License holder
- Susan Sup
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
174 American Flag Way
Sonoma, CA 95476-8152
Sonoma, CA 95476-8152