License holder summary

TIMOTHY E MICKIEWICZ, D.D.S. is a Dental - Registered Provider licensed to practice in California. The address on file for TIMOTHY E MICKIEWICZ, D.D.S. is SACRAMENTO. This licensed professional license is not current. The license was granted 07/31/1989 and expired on 07/31/1991.

California

Department of Consumer Affairs

TIMOTHY E MICKIEWICZ, D.D.S.
Dental - Registered Provider
License number
2636
Date granted
07/31/1989
Date expires
07/31/1991
Class
Dental - Registered Provider
Status
Canceled
Address
SACRAMENTO
californialicensing.org
ID 19813406
LAST UPDATED 2026-06-07 11:18:13 UTC

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