Michael David Park
ExpiredCalifornia license 31352
License
- Licensed by
- Dental Board of California
- License number
- 31352
- Status
- Expired (Delinquent)
- First issued
- May 12, 1983
- Expired
- February 28, 2022
- License holder
- Michael David Park
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
20787 E Rim Ln
Diamond Bar, CA 91789-4028
Diamond Bar, CA 91789-4028
Los Angeles County