Madelena Blasucci
InactiveCalifornia license 58310
License
- Licensed by
- Dental Board of California
- License number
- 58310
- Status
- Inactive (CurrentInactive)
- First issued
- June 1, 2009
- Expires
- December 31, 2027
- License holder
- Madelena Blasucci
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
6245 Wilshire Blvd
502
Los Angeles, CA 90048-5183
502
Los Angeles, CA 90048-5183
Los Angeles County