Bradford David Matiasevich
ExpiredCalifornia license 46643
License
- Licensed by
- Dental Board of California
- License number
- 46643
- Status
- Expired (Delinquent)
- First issued
- July 27, 1999
- Expired
- November 30, 2022
- License holder
- Bradford David Matiasevich
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
58-140 Napoonala Pl
Haleiwa, HI 96712
Haleiwa, HI 96712
Honolulu County