License holder summary

NUSANTARA GENI L is a Registered Dental Assistant licensed to practice in California. This dentist license is not current. The license was granted 09/17/2002 and expired on 01/31/2012.

Department of Consumer Affairs

Dental Board of California

NUSANTARA GENI L
Registered Dental Assistant
License number
59463
Date granted
09/17/2002
Date expires
01/31/2012
Class
Registered Dental Assistant
Status
Delinquent
dentistscalifornia.org
ID 10942486
LAST UPDATED 2026-05-02 21:33:59 UTC

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