License Directory

Mellisri Redjo-Setyono

Active

California license 36419

License

Licensed by
Dental Board of California
License number
36419
Status
Active (Current)
First issued
January 20, 1989
Expires
February 29, 2028
License holder
Mellisri Redjo-Setyono
Entity type
Individual

Classifications

More from the license record

License type code
4401

Contact

749 S Union Ave
Los Angeles, CA 90017-2115
Los Angeles County