License Directory

Susan Sup

Active

California 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

More from the license record

License type code
4401

Contact

174 American Flag Way
Sonoma, CA 95476-8152