Wayne Tetsuo Nakayama
ExpiredCalifornia license 24841
License
- Licensed by
- Dental Board of California
- License number
- 24841
- Status
- Expired (Delinquent)
- First issued
- May 12, 1975
- Expired
- August 31, 2022
- License holder
- Wayne Tetsuo Nakayama
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4514 Centinela Ave
Los Angeles, CA 90066
Los Angeles, CA 90066
Los Angeles County