MANUEL A BUSTAMANTE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020892

License Status

INACTIVE

Business

First Name

MANUEL A

Last Name

BUSTAMANTE

Business Name

MANUEL A BUSTAMANTE

Original Issue Date

10/09/1987

Effective Date

10/09/1987

Expiration Date

09/30/1990

City

LOS ANGELES

State

Zip

90025

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005