Ridwan Sudirgo
ExpiredCalifornia license 36010
License
- Licensed by
- Dental Board of California
- License number
- 36010
- Status
- Expired (Delinquent)
- First issued
- October 27, 1987
- Expired
- April 30, 2022
- License holder
- Ridwan Sudirgo
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
P O Box 3066
Montebello, CA 90640
Montebello, CA 90640
Los Angeles County