Cornelis J P Van Der Wal
InactiveCalifornia license 24514
License
- Licensed by
- Dental Board of California
- License number
- 24514
- Status
- Inactive (CurrentInactive)
- First issued
- January 1, 1974
- Expires
- May 31, 2027
- License holder
- Cornelis J P Van Der Wal
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
905 San Mateo Dr
Menlo Park, CA 94025-5639
Menlo Park, CA 94025-5639
San Mateo County