License holder summary

BROUSSARD JACK SYLVESTER JR is a Dental License licensed to practice in California. The address on file for BROUSSARD JACK SYLVESTER JR is 301 S FAIR OAKS AVE STE 204 PASADENA CA 91105. This licensed professional license is current. The license was granted 10/05/1976 and expired on 02/28/2017.

California

Department of Consumer Affairs

BROUSSARD JACK SYLVESTER JR
Dental License
License number
26040
Date granted
10/05/1976
Date expires
02/28/2017
Class
Dental License
Status
Current
Address
301 S FAIR OAKS AVE STE 204 PASADENA CA 91105
californialicensing.org
ID 19790589
LAST UPDATED 2024-04-29 00:57:34 UTC

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