California
Department of Consumer Affairs
JERGENSEN JUSTIN BURTON
Dental License
License number
63313
Date granted
03/18/2014
Date expires
03/31/2016
Class
Dental License
Status
Current
Address
1900 PENNSYLVANIA AVENUE FAIRFIELD CA 94533
californialicensing.org
ID 19774919
LAST UPDATED 2024-04-02 21:38:15 UTC
LAST UPDATED 2024-04-02 21:38:15 UTC
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