Charmane Ponghirun
ExpiredCalifornia license 34405
License
- Licensed by
- Dental Board of California
- License number
- 34405
- Status
- Expired (Delinquent)
- First issued
- June 6, 1986
- Expired
- May 31, 2024
- License holder
- Charmane Ponghirun
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1237 N Grand Ave
Walnut, CA 91789
Walnut, CA 91789
Los Angeles County