License holder summary

BERTHEOLA JEFFREY DALE is a Dental License licensed to practice in California. The address on file for BERTHEOLA JEFFREY DALE is 895 RIVER DRIVE FORT BRAGG CA 95437. This licensed professional license is current. The license was granted 06/29/1982 and expired on 12/31/2015.

California

Department of Consumer Affairs

BERTHEOLA JEFFREY DALE
Dental License
License number
30702
Date granted
06/29/1982
Date expires
12/31/2015
Class
Dental License
Status
Current
Address
895 RIVER DRIVE FORT BRAGG CA 95437
californialicensing.org
ID 19775311
LAST UPDATED 2024-03-05 14:52:25 UTC

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