Warren Eugene Blakely
ExpiredCalifornia license 20988
License
- Licensed by
- Dental Board of California
- License number
- 20988
- Status
- Expired (Delinquent)
- First issued
- January 1, 1970
- Expired
- December 31, 2021
- License holder
- Warren Eugene Blakely
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4145 Charlene Dr
Los Angeles, CA 90043
Los Angeles, CA 90043
Los Angeles County