SAMSON S DEREBE DMD - Dentist License in California | # 019024484

SAMSON S DEREBE DMD

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024484

License Status

INACTIVE

Business

N

First Name

SAMSON S

Last Name

DEREBE

Suffix

DMD

Business Name

SAMSON S DEREBE DMD

Original Issue Date

07/15/1997

Effective Date

07/15/1997

Expiration Date

09/30/2000

State

CA

Ever Disciplined

N

LastModifiedDate

10/17/2005