California
Department of Consumer Affairs
ANTIOCH RICHARD JACK
Dental - Conscious Sedation Permit
License number
485
Date granted
09/12/2005
Date expires
10/31/2007
Class
Dental - Conscious Sedation Permit
Status
Canceled
Address
RIVERSIDE
californialicensing.org
ID 10902498
LAST UPDATED 2024-05-08 13:22:13 UTC
LAST UPDATED 2024-05-08 13:22:13 UTC
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