Erline Diona Poerwanto
ActiveCalifornia license 62687
License
- Licensed by
- Dental Board of California
- License number
- 62687
- Status
- Active (Current)
- First issued
- July 26, 2013
- Expires
- January 31, 2028
- License holder
- Erline Diona Poerwanto
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
PO Box 78114
Stockton, CA 95267-1414
Stockton, CA 95267-1414
San Joaquin County