Richard Agnew Fagin
ExpiredCalifornia license 20691
License
- Licensed by
- Dental Board of California
- License number
- 20691
- Status
- Expired (Delinquent)
- First issued
- January 1, 1969
- Expired
- December 31, 2024
- License holder
- Richard Agnew Fagin
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
235-N San Mateo Dr #600
San Mateo, CA 94401
San Mateo, CA 94401
San Mateo County