License Directory

Mimi Theerathada

Active

California license 56371

License

Licensed by
Dental Board of California
License number
56371
Status
Active (Current)
First issued
September 10, 2007
Expires
December 31, 2026
License holder
Mimi Theerathada
Entity type
Individual

Classifications

More from the license record

License type code
4401

Other California licenses under this name

  • CA
    Mimi Theerathada
    License 4567
    Oral Conscious Sedation Certificate
    Active
    Westlake Village, CA
    Expires Dec 31, 2026

Contact

960 S. Westlake Blvd
204
Westlake Village, CA 91361
Ventura County