Vanja Ivan Illich
ActiveCalifornia license 32421
License
- Licensed by
- Dental Board of California
- License number
- 32421
- Status
- Active (Current)
- First issued
- June 22, 1984
- Expires
- January 31, 2028
- License holder
- Vanja Ivan Illich
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4273 Monk Rd
Placerville, CA 95667-8610
Placerville, CA 95667-8610
El Dorado County