Alisa V Prosumsup
ActiveCalifornia license 101483
License
- Licensed by
- Dental Board of California
- License number
- 101483
- Status
- Active (Current)
- First issued
- November 27, 2023
- Expires
- June 30, 2028
- License holder
- Alisa V Prosumsup
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
3637 Ohio Lane
North Highlands, CA 95660
North Highlands, CA 95660
Sacramento County