Mark Asael Tall
ExpiredCalifornia license 37292
License
- Licensed by
- Dental Board of California
- License number
- 37292
- Status
- Expired (Delinquent)
- First issued
- July 26, 1989
- Expired
- November 30, 2021
- License holder
- Mark Asael Tall
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2460 E 25th St
Idaho Falls, ID 83404
Idaho Falls, ID 83404
Bonneville County