Jiries Peter Mogannam
ActiveCalifornia license 1576
License
- Licensed by
- Dental Board of California
- License number
- 1576
- Status
- Active (Current)
- First issued
- June 30, 2011
- Expires
- June 30, 2028
- License holder
- Jiries Peter Mogannam
- Entity type
- Individual
Classifications
- General Anesthesia Permit Other Health Care
More from the license record
- License type code
- 4403
- Related
- Mogannam Jiries (60191)
Other California licenses under this name
-
CA
ActiveSanta Rosa, CAExpires Jun 30, 2028
-
CA
ActiveSanta Rosa, CAExpires Jun 30, 2028
Contact
1460 Farmers Ln
Santa Rosa, CA 95405-7502
Santa Rosa, CA 95405-7502
Sonoma County