Mia Marioara Busan
ExpiredCalifornia license 38045
License
- Licensed by
- Dental Board of California
- License number
- 38045
- Status
- Expired (Delinquent)
- First issued
- April 27, 1990
- Expired
- February 28, 2023
- License holder
- Mia Marioara Busan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
12546 Valley View Ste B
Garden Grove, CA 92845
Garden Grove, CA 92845
Orange County