Bryan Shawn Clevenger
ExpiredCalifornia license 100487
License
- Licensed by
- Dental Board of California
- License number
- 100487
- Status
- Expired (Delinquent)
- First issued
- July 19, 2016
- Expired
- October 31, 2024
- License holder
- Bryan Shawn Clevenger
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4020 Piedmont Ter
Medford, OR 97504-9469
Medford, OR 97504-9469
Jackson County