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 2024-04-11 14:31:32 UTC
LAST UPDATED 2024-04-11 14:31:32 UTC
This website is unaffiliated with the Department of Consumer Affairs. Please verify all information directly with the relevant official government authority.