ALBERT THOMAS INDRESANO DMD - Dentist License in California | # 31*****84

ALBERT THOMAS INDRESANO DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

N

First Name

ALBERT THOMAS

Last Name

INDRESANO

Suffix

DMD

Business Name

ALBERT THOMAS INDRESANO DMD

Original Issue Date

01/01/1998

Effective Date

04/12/2016

Expiration Date

09/30/2018

State

CA

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/31/2018