Jenna Marie Benko Supowit
ExpiredCalifornia license 63557
License
- Licensed by
- Dental Board of California
- License number
- 63557
- Status
- Expired (Delinquent)
- First issued
- June 27, 2014
- Expired
- December 31, 2025
- License holder
- Jenna Marie Benko Supowit
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
21525 Hawthorne Blvd
Pavillion A
Torrance, CA 90503-6605
Pavillion A
Torrance, CA 90503-6605
Los Angeles County