Poppy W the
ExpiredCalifornia license 26289
License
- Licensed by
- Dental Board of California
- License number
- 26289
- Status
- Expired (Delinquent)
- First issued
- April 19, 1977
- Expired
- April 30, 2023
- License holder
- Poppy W the
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1684 Country Club Dr
Glendale, CA 91208
Glendale, CA 91208
Los Angeles County