Cerisa Ignacio Clouse
ActiveCalifornia license 61688
License
- Licensed by
- Dental Board of California
- License number
- 61688
- Status
- Active (Current)
- First issued
- August 2, 2012
- Expires
- May 31, 2027
- License holder
- Cerisa Ignacio Clouse
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
11980 San Vicente Blvd
619
Los Angeles, CA 90049-5012
619
Los Angeles, CA 90049-5012
Los Angeles County