California
Department of Consumer Affairs
JACKSON ELBERT EUGENE
Dental License
License number
22739
Date granted
01/01/1972
Date expires
05/31/2013
Class
Dental License
Status
DELINQUENT, SELF EMPLOYED AT 1 LOCATION
Address
200 GLEAVES STREET STE. C MADISON TN 37115
californialicensing.org
ID 19785326
LAST UPDATED 2024-03-13 00:30:44 UTC
LAST UPDATED 2024-03-13 00:30:44 UTC
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