License holder summary

BRENT JAY A is a Dental License licensed to practice in California. The address on file for BRENT JAY A is 5400 BALBOA BL ENCINO CA 91316. This licensed professional license is not current. The license was granted 01/01/1962 and expired on 03/31/2002.

California

Department of Consumer Affairs

BRENT JAY A
Dental License
License number
16474
Date granted
01/01/1962
Date expires
03/31/2002
Class
Dental License
Status
Canceled
Address
5400 BALBOA BL ENCINO CA 91316
californialicensing.org
ID 19774222
LAST UPDATED 2024-03-23 08:00:42 UTC

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