SAMSON S DEREBE DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024484

License Status

INACTIVE

Business

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

City

WOODLAND HILLS

State

Zip

91367

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005