License holder summary

HENNINGSGAARD MARK JON is a Dental License licensed to practice in California. The address on file for HENNINGSGAARD MARK JON is 596 BELLEVUE ROAD ATWATER CA 95301. This licensed professional license is not current. The license was granted 01/01/1973 and expired on 03/31/1996.

California

Department of Consumer Affairs

HENNINGSGAARD MARK JON
Dental License
License number
23318
Date granted
01/01/1973
Date expires
03/31/1996
Class
Dental License
Status
Canceled
Address
596 BELLEVUE ROAD ATWATER CA 95301
californialicensing.org
ID 19767210
LAST UPDATED 2024-04-09 06:05:55 UTC

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