Nelson Alexander Johansen
ExpiredCalifornia license 36772
License
- Licensed by
- Dental Board of California
- License number
- 36772
- Status
- Expired (Delinquent)
- First issued
- July 21, 1988
- Expired
- August 31, 2024
- License holder
- Nelson Alexander Johansen
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1204 Cottonwood
Woodland, CA 95695
Woodland, CA 95695
Yolo County