Justina Quilala Azcueta
ExpiredCalifornia license 47039
License
- Licensed by
- Dental Board of California
- License number
- 47039
- Status
- Expired (Delinquent)
- First issued
- May 1, 2000
- Expired
- December 31, 2024
- License holder
- Justina Quilala Azcueta
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
549 Jackson St
San Jose, CA 95112
San Jose, CA 95112
Santa Clara County