License holder summary

AZALI CONNIE SUSETYO is a Registered Dental Assistant licensed to practice in California. This dentist license is current. The license was granted 06/28/2012 and expired on 11/30/2015.

Department of Consumer Affairs

Dental Board of California

AZALI CONNIE SUSETYO
Registered Dental Assistant
License number
79214
Date granted
06/28/2012
Date expires
11/30/2015
Class
Registered Dental Assistant
Status
Current
dentistscalifornia.org
ID 10922461
LAST UPDATED 2026-04-19 15:48:23 UTC

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