Alfred Anthony Medina
ExpiredCalifornia license 29371
License
- Licensed by
- Dental Board of California
- License number
- 29371
- Status
- Expired (Delinquent)
- First issued
- October 16, 1980
- Expired
- December 31, 2021
- License holder
- Alfred Anthony Medina
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
309 Third Ave
Chula Vista, CA 91910
Chula Vista, CA 91910
San Diego County