Theodore Alan Peterson
ExpiredCalifornia license 21281
License
- Licensed by
- Dental Board of California
- License number
- 21281
- Status
- Expired (Delinquent)
- First issued
- January 1, 1970
- Expired
- September 30, 2024
- License holder
- Theodore Alan Peterson
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
826 Altos Oaks Drive
Suite 1
Los Altos, CA 94024
Suite 1
Los Altos, CA 94024
Santa Clara County