Shahram Farahvash
ExpiredCalifornia license 402
License
- Licensed by
- Dental Board of California
- License number
- 402
- Status
- Expired (Delinquent)
- First issued
- April 5, 2022
- Expired
- September 30, 2023
- License holder
- Shahram Farahvash
- Entity type
- Individual
Classifications
- Medical General Anesthesia Permit Other Health Care
More from the license record
- License type code
- 4404
- Related
- Farahvash Shahram (115190)
Other California licenses under this name
-
CA
ActiveEncino, CAExpires Sep 30, 2028
Contact
15732 Sutton St.
Encino, CA 91436
Encino, CA 91436
Los Angeles County