Bas Michael Antic Groen
ExpiredCalifornia license 55473
License
- Licensed by
- Dental Board of California
- License number
- 55473
- Status
- Expired (Delinquent)
- First issued
- January 18, 2007
- Expired
- June 30, 2026
- License holder
- Bas Michael Antic Groen
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3300 NE 36th St
Apt 1010
Fort Lauderdale, FL 33308-6754
Apt 1010
Fort Lauderdale, FL 33308-6754
Broward County