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
LAST UPDATED 2024-04-24 22:54:02 UTC
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