KEVIN YEN FAN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028934

License Status

INACTIVE

Business

First Name

KEVIN

Middle

YEN

Last Name

FAN

Suffix

DDS

Business Name

KEVIN YEN FAN DDS

Original Issue Date

03/06/2012

Effective Date

08/20/2018

Expiration Date

12/31/2021

City

MONTEREY PARK

State

Zip

91754

Ever Disciplined

LastModifiedDate

12/17/2021