License holder summary

ANTIOCH RICHARD JACK is a Dental - Conscious Sedation Permit licensed to practice in California. The address on file for ANTIOCH RICHARD JACK is RIVERSIDE. This licensed professional license is not current. The license was granted 09/12/2005 and expired on 10/31/2007.

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 2024-03-27 04:36:53 UTC

This website is unaffiliated with the Department of Consumer Affairs. Please verify all information directly with the relevant official government authority.

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