Ellen Park
ExpiredCalifornia license 3873
License
- Licensed by
- Dental Board of California
- License number
- 3873
- Status
- Expired (Delinquent)
- First issued
- March 11, 2019
- Expired
- May 31, 2022
- License holder
- Ellen Park
- Entity type
- Individual
Classifications
- Oral Conscious Sedation Certificate Dental
More from the license record
- License type code
- 4406
- Related
- Park Ellen (100651)
Other California licenses under this name
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CA
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ActiveLodi, CAExpires Oct 31, 2027
Contact
3640 Wilshire Blvd
#511
Los Angeles, CA 90010-2641
#511
Los Angeles, CA 90010-2641
Los Angeles County