ANJALI . - Dentist License in California | # 31*****57

ANJALI .

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

N

First Name

ANJALI

Last Name

.

Business Name

ANJALI .

Original Issue Date

08/25/2021

Effective Date

08/25/2021

Expiration Date

09/30/2024

City

LOS ANGELES

State

CA

Zip

90024

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

02/04/2025