License holder summary

FORSBERG TERRY WAYNE is a Dental License licensed to practice in California. The address on file for FORSBERG TERRY WAYNE is 2200 MC HENRY AVE. MODESTO CA 95350. This licensed professional license is current. The license was granted 01/01/1973 and expired on 04/30/2016.

California

Department of Consumer Affairs

FORSBERG TERRY WAYNE
Dental License
License number
23605
Date granted
01/01/1973
Date expires
04/30/2016
Class
Dental License
Status
Current
Address
2200 MC HENRY AVE. MODESTO CA 95350
californialicensing.org
ID 19786502
LAST UPDATED 2024-04-30 17:10:12 UTC

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