California
Department of Consumer Affairs
PETERSEN JEFFREY IAN
Dental License
License number
36313
Date granted
07/15/1988
Date expires
02/28/2017
Class
Dental License
Status
Current
Address
2448 GUERNEVILLE ROAD SANTA ROSA CA 95403
californialicensing.org
ID 19803117
LAST UPDATED 2026-06-25 00:59:21 UTC
LAST UPDATED 2026-06-25 00:59:21 UTC
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