License holder summary

PETTIT TIMOTHY JACKSON is a Dental License licensed to practice in California. The address on file for PETTIT TIMOTHY JACKSON is 1204 COTTONWOOD ST STE 7 WOODLAND CA 95695. This licensed professional license is not current. The license was granted 01/01/1970 and expired on 10/31/2012.

California

Department of Consumer Affairs

PETTIT TIMOTHY JACKSON
Dental License
License number
21494
Date granted
01/01/1970
Date expires
10/31/2012
Class
Dental License
Status
DELINQUENT, SELF EMPLOYED AT 1 LOCATION
Address
1204 COTTONWOOD ST STE 7 WOODLAND CA 95695
californialicensing.org
ID 19809161
LAST UPDATED 2024-03-05 07:22:31 UTC

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