Dental Board of California
Licensing details for: 4855
Name: THOMAS ALLEN IVERSON DDS
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
360 B FIFTH STREET
COLUSA CA 95932
COLUSA county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Additional Office Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: IVERSON, THOMAS ALLEN
License/Registration Type: Dentist License
License Number: 33473 Primary Status: Current - Active
Address :
2 Main St
WOODLAND CA 95695-3124
YOLO COUNTY
