John P Derdivanis
ExpiredCalifornia license 15206
License
- Licensed by
- Dental Board of California
- License number
- 15206
- Status
- Expired (Delinquent)
- First issued
- January 1, 1959
- Expired
- May 31, 2022
- License holder
- John P Derdivanis
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
22230 City Center Dr
Hayward, CA 94541
Hayward, CA 94541
Alameda County