Lane C Thomsen
ExpiredCalifornia license 18273
License
- Licensed by
- Dental Board of California
- License number
- 18273
- Status
- Expired (Delinquent)
- First issued
- January 1, 1965
- Expired
- May 31, 2022
- License holder
- Lane C Thomsen
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
169 Monarch Dr
Fortuna, CA 95540
Fortuna, CA 95540
Humboldt County