Lawrence Eugene Fong
ExpiredCalifornia license 22068
License
- Licensed by
- Dental Board of California
- License number
- 22068
- Status
- Expired (Delinquent)
- First issued
- January 1, 1971
- Expired
- May 31, 2025
- License holder
- Lawrence Eugene Fong
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
POBox 944
Fairfax, CA 94978
Fairfax, CA 94978
Marin County