Kongkiat Ratanatharathorn
ExpiredCalifornia license 55922
License
- Licensed by
- Dental Board of California
- License number
- 55922
- Status
- Expired (Delinquent)
- First issued
- July 16, 2007
- Expired
- May 31, 2022
- License holder
- Kongkiat Ratanatharathorn
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3212 Luscutoff Ct
Sacramento, CA 95820-2159
Sacramento, CA 95820-2159
Sacramento County