Martha Amparo Prudencio
ExpiredCalifornia license 42872
License
- Licensed by
- Dental Board of California
- License number
- 42872
- Status
- Expired (Delinquent)
- First issued
- July 20, 1995
- Expired
- July 31, 2026
- License holder
- Martha Amparo Prudencio
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1809 W Cheryll Ave
Porterville, CA 93257
Porterville, CA 93257
Tulare County