Edwin M H Park
ExpiredCalifornia license 19375
License
- Licensed by
- Dental Board of California
- License number
- 19375
- Status
- Expired (Delinquent)
- First issued
- January 1, 1967
- Expired
- August 31, 2022
- License holder
- Edwin M H Park
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
95 North Reino Ave
Newbury Park, CA 91320
Newbury Park, CA 91320
Ventura County