63RD US ARMY RESERVE COMMAND
Dental - Registered Provider
California 2579 Canceled
This California license was held by 63RD US ARMY RESERVE COMMAND. The license is no longer active. It was granted on 03/21/1989 and expired on 03/31/1997
LICENSE DETAILS
- License Number: 2579
- Category: Registered Provider
- Status: Canceled
- Date Granted: 03/21/1989 (about 35 years ago)
- Expiry Date: 03/31/1997 (about 27 years ago)
LOCATIONS
A Address
LOS ALAMITOS