Djavan Andreas Wharton-Lake
ExpiredCalifornia license 65036
License
- Licensed by
- Dental Board of California
- License number
- 65036
- Status
- Expired (Delinquent)
- First issued
- August 21, 2015
- Expired
- April 30, 2022
- License holder
- Djavan Andreas Wharton-Lake
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
540 North Central Ave
B304
Glendale, CA 91203
B304
Glendale, CA 91203
Los Angeles County