Jose Martin Penilla
InactiveCalifornia license 42693
License
- Licensed by
- Dental Board of California
- License number
- 42693
- Status
- Inactive (CurrentInactive)
- First issued
- July 26, 1995
- Expires
- December 31, 2027
- License holder
- Jose Martin Penilla
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1746 S 4th St
El Centro, CA 92243
El Centro, CA 92243
Imperial County