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Licensing details for: 63572

Name: PORTNOFF, LUIZA

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

868 Auto Center Dr
150
PALMDALE CA 93551-4690
LOS ANGELES county
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Issuance Date

July 2, 2014

Expiration Date

June 30, 2026

Current Date / Time

June 7, 2025
2:48:43 AM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: General Anesthesia Permit

Name: PORTNOFF, LUIZA

License/Registration Type: General Anesthesia Permit

License Number: 1889 Primary Status: Current - Active

Address :
868 Auto Center Dr
A
PALMDALE CA 93551-4690
LOS ANGELES COUNTY

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