License holder summary

BLACKSTOCK BURCH LEE is a Dental License licensed to practice in California. The address on file for BLACKSTOCK BURCH LEE is 12110 WOODSIDE AVE LAKESIDE CA 92040. This licensed professional license is current. The license was granted 08/01/1994 and expired on 03/31/2017.

California

Department of Consumer Affairs

BLACKSTOCK BURCH LEE
Dental License
License number
42123
Date granted
08/01/1994
Date expires
03/31/2017
Class
Dental License
Status
Current
Address
12110 WOODSIDE AVE LAKESIDE CA 92040
californialicensing.org
ID 19781037
LAST UPDATED 2024-04-24 22:54:02 UTC

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