Evelyn Lopez
InactiveCalifornia license 77550
License
- Licensed by
- Dental Board of California
- License number
- 77550
- Status
- Inactive (CurrentInactive)
- First issued
- August 2, 2011
- Expires
- May 31, 2028
- License holder
- Evelyn Lopez
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
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Contact
509 G St
Petaluma, CA 94952-4222
Petaluma, CA 94952-4222
Sonoma County