California
Department of Consumer Affairs
MATTOX H DOUGLAS
Dental License
License number
18374
Date granted
01/01/1965
Date expires
08/31/2013
Class
Dental License
Status
DELINQUENT, RADIATION SAFETY CERTIFICATION FILED WITH BOARD
Address
P O BOX 473 SILVERADO CA 92676-0473
californialicensing.org
ID 19803772
LAST UPDATED 2026-05-05 04:21:16 UTC
LAST UPDATED 2026-05-05 04:21:16 UTC
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