Charles David Mikusky
ExpiredCalifornia license 31332
License
- Licensed by
- Dental Board of California
- License number
- 31332
- Status
- Expired (Delinquent)
- First issued
- May 12, 1983
- Expired
- January 31, 2024
- License holder
- Charles David Mikusky
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
20644 Lemarsh St
Chatsworth, CA 91311-3218
Chatsworth, CA 91311-3218
Los Angeles County