Inne Suryamega Oen
ExpiredCalifornia license 28213
License
- Licensed by
- Dental Board of California
- License number
- 28213
- Status
- Expired (Delinquent)
- First issued
- July 20, 1979
- Expired
- January 31, 2023
- License holder
- Inne Suryamega Oen
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1837 1/4 Vallecito Dr
Hacienda Heights, CA 91745-3345
Hacienda Heights, CA 91745-3345
Los Angeles County