License holder summary

WILLIAMS JACK L is a Dental License licensed to practice in California. The address on file for WILLIAMS JACK L is 5122 BENNETT VALLEY LANE GLEN ELLEN CA 95442. This licensed professional license is not current. The license was granted 01/01/1958 and expired on 11/30/2012.

California

Department of Consumer Affairs

WILLIAMS JACK L
Dental License
License number
14700
Date granted
01/01/1958
Date expires
11/30/2012
Class
Dental License
Status
DELINQUENT, RADIATION SAFETY CERTIFICATION FILED WITH BOARD
Address
5122 BENNETT VALLEY LANE GLEN ELLEN CA 95442
californialicensing.org
ID 19776997
LAST UPDATED 2024-02-27 06:46:11 UTC

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