Susan Diane Benner
ExpiredCalifornia license 29881
License
- Licensed by
- Dental Board of California
- License number
- 29881
- Status
- Expired (Delinquent)
- First issued
- July 1, 1981
- Expired
- October 31, 2021
- License holder
- Susan Diane Benner
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2351 Sunset Blvd Ste 170-274
Rocklin, CA 95765
Rocklin, CA 95765
Placer County