Shiva Mohtasham
InactiveCalifornia license 47194
License
- Licensed by
- Dental Board of California
- License number
- 47194
- Status
- Inactive (CurrentInactive)
- First issued
- December 3, 1996
- Expires
- February 29, 2028
- License holder
- Shiva Mohtasham
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Other California licenses under this name
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CA
ActiveSan Ramon, CAExpires Feb 29, 2028
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CA
ActiveSan Ramon, CAExpires Jun 24, 2030
Contact
2887 Fieldview Ter
San Ramon, CA 94583-1900
San Ramon, CA 94583-1900
Contra Costa County