Mervin Lee Ellstrom
ActiveCalifornia license 24928
License
- Licensed by
- Dental Board of California
- License number
- 24928
- Status
- Active (Current)
- First issued
- June 12, 1975
- Expires
- May 31, 2027
- License holder
- Mervin Lee Ellstrom
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
26830 Charley Court
Moreno Valley, CA 92555-1910
Moreno Valley, CA 92555-1910
Riverside County