Lori R Beeninga
ExpiredCalifornia license 28903
License
- Licensed by
- Dental Board of California
- License number
- 28903
- Status
- Expired (Delinquent)
- First issued
- July 8, 1980
- Expired
- June 30, 2024
- License holder
- Lori R Beeninga
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2723 San Carlos Avenue
San Carlos, CA 94070
San Carlos, CA 94070
San Mateo County