PERRISOFIAN PUTRASAHAN, DDS
Dental - Additional Office
California 9242 Canceled
This California license was held by PERRISOFIAN PUTRASAHAN, DDS. The license is no longer active. It was granted on 11/13/2006 and expired on 04/30/2009
LICENSE DETAILS
- License Number: 9242
- Category: Additional Office
- Status: Canceled
- Date Granted: 11/13/2006 (almost 20 years ago)
- Expiry Date: 04/30/2009 (over 17 years ago)
LOCATIONS
A Address
81-955 HWY 111 INDIO CA 92201