Derrick Lane Thompson
ActiveCalifornia license 40893
License
- Licensed by
- Dental Board of California
- License number
- 40893
- Status
- Active (Current)
- First issued
- May 18, 1993
- Expires
- August 31, 2028
- License holder
- Derrick Lane Thompson
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
6221 Wilshire Blvd Ste 303
Los Angeles, CA 90048-5225
Los Angeles, CA 90048-5225
Los Angeles County