Beverly May Rebultan De Lara
ActiveCalifornia license 79794
License
- Licensed by
- Dental Board of California
- License number
- 79794
- Status
- Active (Current)
- First issued
- October 4, 2012
- Expires
- April 30, 2027
- License holder
- Beverly May Rebultan De Lara
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Other California licenses under this name
-
CA
ExpiredLakewood, CAExpired Apr 30, 2023
-
CA
ActiveLakewood, CAExpires Apr 30, 2027
Contact
20909 Bloomfield Ave Apt 9
Lakewood, CA 90715-1836
Lakewood, CA 90715-1836
Los Angeles County