Edgardo A De La Vega
ExpiredCalifornia license 22336
License
- Licensed by
- Dental Board of California
- License number
- 22336
- Status
- Expired (Delinquent)
- First issued
- August 10, 1971
- Expired
- May 31, 2023
- License holder
- Edgardo A De La Vega
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
22114 Roscoe Blvd
Canoga Park, CA 91304
Canoga Park, CA 91304
Los Angeles County