Thalia Monserrat Lopez
ExpiredCalifornia license 81428
License
- Licensed by
- Dental Board of California
- License number
- 81428
- Status
- Expired (Delinquent)
- First issued
- September 3, 2013
- Expired
- April 30, 2024
- License holder
- Thalia Monserrat Lopez
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
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Contact
17892 Seville Ave
Fontana, CA 92335-3750
Fontana, CA 92335-3750
San Bernardino County