Revadee Tan Veranunt
ExpiredCalifornia license 36120
License
- Licensed by
- Dental Board of California
- License number
- 36120
- Status
- Expired (Delinquent)
- First issued
- July 15, 1988
- Expired
- April 30, 2026
- License holder
- Revadee Tan Veranunt
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
5056 Hollywood Blvd
Suite 205
Los Angeles, CA 90027
Suite 205
Los Angeles, CA 90027
Los Angeles County