Manerva Jeanette Hart
ExpiredCalifornia license 100438
License
- Licensed by
- Dental Board of California
- License number
- 100438
- Status
- Expired (Delinquent)
- First issued
- July 15, 2016
- Expired
- September 30, 2025
- License holder
- Manerva Jeanette Hart
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1615 NE Dekum St
Portland, OR 97211-4839
Portland, OR 97211-4839
Multnomah County