Prasong Iamsurey
ActiveCalifornia license 34119
License
- Licensed by
- Dental Board of California
- License number
- 34119
- Status
- Active (Current)
- First issued
- September 23, 1985
- Expires
- January 31, 2027
- License holder
- Prasong Iamsurey
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4150 Main St
Kelseyville, CA 95451-9402
Kelseyville, CA 95451-9402
Lake County