License holder summary

JACKSON - HEISE OMS is a Dental - Registered Provider licensed to practice in California. The address on file for JACKSON - HEISE OMS is SACRAMENTO. This licensed professional license is not current. The license was granted 03/16/1990 and expired on 03/31/2012.

California

Department of Consumer Affairs

JACKSON - HEISE OMS
Dental - Registered Provider
License number
2718
Date granted
03/16/1990
Date expires
03/31/2012
Class
Dental - Registered Provider
Status
Delinquent
Address
SACRAMENTO
californialicensing.org
ID 19813355
LAST UPDATED 2026-03-20 21:33:16 UTC

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