Perrisofian Putrasahan

License

Licensed by

Dental Board of California

License number

39466

Status

Active (Current)

First issued

July 26, 1991

Expires

April 30, 2027

License holder

Perrisofian Putrasahan

Entity type

Individual

Classifications

• Dental License Dental

More from the license record

License type code

4401

Other California licenses under this name

• CA
  Perrisofian Putrasahan

  License 1012

  General Anesthesia Permit
  Active

  Cathedral City, CA

  Expires Apr 30, 2027

Contact