KATHLEEN ANN MOLDENHAUER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

ACTIVE

Business

First Name

KATHLEEN ANN

Last Name

MOLDENHAUER

Business Name

KATHLEEN ANN MOLDENHAUER

Original Issue Date

11/07/1984

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

SOUTH PASADENA

State

Zip

91030

County

CALIFORNIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/16/2024