Irwin Mark Leavitt
ExpiredCalifornia license 24312
License
- Licensed by
- Dental Board of California
- License number
- 24312
- Status
- Expired (Delinquent)
- First issued
- January 1, 1974
- Expired
- September 30, 2022
- License holder
- Irwin Mark Leavitt
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
567 South Brand Blvd
San Fernando, CA 91340
San Fernando, CA 91340
Los Angeles County