License holder summary

FORTMAN JARED RICHARD is a Dental License licensed to practice in California. The address on file for FORTMAN JARED RICHARD is 1100 SONOMA AVE, STE B SANTA ROSA CA 95405. This licensed professional license is current. The license was granted 10/06/2003 and expired on 10/31/2016.

California

Department of Consumer Affairs

FORTMAN JARED RICHARD
Dental License
License number
51826
Date granted
10/06/2003
Date expires
10/31/2016
Class
Dental License
Status
Current
Address
1100 SONOMA AVE, STE B SANTA ROSA CA 95405
californialicensing.org
ID 19802987
LAST UPDATED 2024-03-07 00:43:44 UTC

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