California
Department of Consumer Affairs
PENIX JACK LESLEY JR
Dental License
License number
21933
Date granted
01/01/1971
Date expires
02/29/2012
Class
Dental License
Status
DELINQUENT, SELF EMPLOYED AT 1 LOCATION
Address
52 EL CAMINO AVE SAN RAFAEL CA 94901
californialicensing.org
ID 19801327
LAST UPDATED 2026-04-27 06:19:50 UTC
LAST UPDATED 2026-04-27 06:19:50 UTC
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