FORTMAN MICHAEL F
Dental License
California 19877 Canceled
This California license was held by FORTMAN MICHAEL F. The license is no longer active. It was granted on 01/01/1968 and expired on 12/31/2000
LICENSE DETAILS
- License Number: 19877
- Category: Dental License
- Status: Canceled
- Date Granted: 01/01/1968 (over 56 years ago)
- Expiry Date: 12/31/2000 (over 23 years ago)
LOCATIONS
A Address
711 W 17TH STREET E-1 COSTA MESA CA 92627