Khourschid Azizi Favero
ExpiredCalifornia license 63302
License
- Licensed by
- Dental Board of California
- License number
- 63302
- Status
- Expired (Delinquent)
- First issued
- March 17, 2014
- Expired
- January 31, 2024
- License holder
- Khourschid Azizi Favero
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
17430 Crenshaw Blvd Suite A
Torrance, CA 90504
Torrance, CA 90504
Los Angeles County