Andrew Ivan Radovan
InactiveCalifornia license 40488
License
- Licensed by
- Dental Board of California
- License number
- 40488
- Status
- Inactive (CurrentInactive)
- First issued
- August 17, 1992
- Expires
- June 30, 2027
- License holder
- Andrew Ivan Radovan
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3513 25th St
Kenosha, WI 53144-1445
Kenosha, WI 53144-1445
Kenosha County