Susan Lee Park
ExpiredCalifornia license 30806
License
- Licensed by
- Dental Board of California
- License number
- 30806
- Status
- Expired (Delinquent)
- First issued
- July 1, 1982
- Expired
- September 30, 2023
- License holder
- Susan Lee Park
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
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Contact
205 Live Oak Ln
Los Altos, CA 94022
Los Altos, CA 94022
Santa Clara County