License holder summary

PHILIP JEREL FREDERIC is a Dental License licensed to practice in California. The address on file for PHILIP JEREL FREDERIC is 4100 PORTOLA DR, STE 1 SANTA CRUZ CA 95062. This licensed professional license is current. The license was granted 04/27/1990 and expired on 08/31/2016.

California

Department of Consumer Affairs

PHILIP JEREL FREDERIC
Dental License
License number
38159
Date granted
04/27/1990
Date expires
08/31/2016
Class
Dental License
Status
Current
Address
4100 PORTOLA DR, STE 1 SANTA CRUZ CA 95062
californialicensing.org
ID 19802385
LAST UPDATED 2024-03-28 15:13:23 UTC

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