Roger Melvin Hanawalt
InactiveCalifornia license 28704
License
- Licensed by
- Dental Board of California
- License number
- 28704
- Status
- Inactive (CurrentInactive)
- First issued
- May 7, 1980
- Expires
- December 31, 2027
- License holder
- Roger Melvin Hanawalt
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2450 D St
La Verne, CA 91750-4416
La Verne, CA 91750-4416
Los Angeles County