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
LAST UPDATED 2024-03-05 14:52:25 UTC
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