Harley Albert Deisem Jr
ExpiredCalifornia license 29698
License
- Licensed by
- Dental Board of California
- License number
- 29698
- Status
- Expired (Delinquent)
- First issued
- June 18, 1981
- Expired
- January 31, 2022
- License holder
- Harley Albert Deisem Jr
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1180 La Subida Ct
Riverside, CA 92507-5929
Riverside, CA 92507-5929
Riverside County