Jeffrey Payne, Dds
ExpiredCalifornia license 11355
License
- Licensed by
- Dental Board of California
- License number
- 11355
- Status
- Expired (Delinquent)
- First issued
- March 5, 2014
- Expired
- April 30, 2023
- Entity type
- Organization
Classifications
- Additional Office Permit Dental
More from the license record
- License type code
- 4409
- Related
- Payne Jeffrey (46419)
Contact
525 S. Fairmont Ave
Suite B
Lodi, CA 95240
Suite B
Lodi, CA 95240
San Joaquin County