Jeremy James Haines
ExpiredCalifornia license 100553
License
- Licensed by
- Dental Board of California
- License number
- 100553
- Status
- Expired (Delinquent)
- First issued
- July 26, 2016
- Expired
- April 30, 2024
- License holder
- Jeremy James Haines
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
11751 N Forest Rd
Hayden, ID 83835-9412
Hayden, ID 83835-9412
Latah County