David Michael Mortvedt
InactiveCalifornia license 40967
License
- Licensed by
- Dental Board of California
- License number
- 40967
- Status
- Inactive (CurrentInactive)
- First issued
- August 12, 1993
- Expires
- November 30, 2026
- License holder
- David Michael Mortvedt
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
17102 Paddington Court
Jeffersonton, VA 22724
Jeffersonton, VA 22724
Culpeper County