Pauline H Susanto
ExpiredCalifornia license 27562
License
- Licensed by
- Dental Board of California
- License number
- 27562
- Status
- Expired (Delinquent)
- First issued
- July 27, 1978
- Expired
- September 30, 2021
- License holder
- Pauline H Susanto
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
315 Marietta Dr
San Francisco, CA 94127-1845
San Francisco, CA 94127-1845
San Francisco County