Michael R Moreno, Dds
ExpiredCalifornia license 11331
License
- Licensed by
- Dental Board of California
- License number
- 11331
- Status
- Expired (Delinquent)
- First issued
- February 19, 2014
- Expired
- January 31, 2023
- Entity type
- Organization
Classifications
- Additional Office Permit Dental
More from the license record
- License type code
- 4409
- Related
- Moreno Michael (32491)
Contact
6529 Inglewood Ave Ste A-2
Stockton, CA 95207
Stockton, CA 95207
San Joaquin County