Stacey Randall Holm, Dds
ExpiredCalifornia license 7370
License
- Licensed by
- Dental Board of California
- License number
- 7370
- Status
- Expired (Delinquent)
- First issued
- April 20, 2001
- Expired
- October 31, 2021
- Entity type
- Organization
Classifications
- Additional Office Permit Dental
More from the license record
- License type code
- 4409
- Related
- Holm Stacey (38427)
Contact
2231 Douglas Blvd #110
Roseville, CA 95661
Roseville, CA 95661
Placer County