Elenita Bautista Liwanag
ExpiredCalifornia license 38963
License
- Licensed by
- Dental Board of California
- License number
- 38963
- Status
- Expired (Delinquent)
- First issued
- April 26, 1991
- Expired
- August 31, 2022
- License holder
- Elenita Bautista Liwanag
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
509 E 224th St
Carson, CA 90745
Carson, CA 90745
Los Angeles County