DALE VIDA LAI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031904

License Status

ACTIVE

Business

First Name

DALE

Middle

VIDA

Last Name

LAI

Business Name

DALE VIDA LAI

Original Issue Date

10/02/2018

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

FREMONT

State

Zip

94539

Ever Disciplined

LastModifiedDate

12/06/2024