California
Department of Consumer Affairs
BACK JIM P
Dental License
License number
16673
Date granted
01/01/1962
Date expires
05/31/2015
Class
Dental License
Status
Delinquent
Address
4621 VILLAS COURT BONITA CA 91902-2446
californialicensing.org
ID 19768716
LAST UPDATED 2024-04-15 00:15:21 UTC
LAST UPDATED 2024-04-15 00:15:21 UTC
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