Dylan Patrick Booth
ExpiredCalifornia license 101586
License
- Licensed by
- Dental Board of California
- License number
- 101586
- Status
- Expired (Delinquent)
- First issued
- July 17, 2017
- Expired
- March 31, 2023
- License holder
- Dylan Patrick Booth
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2636 SW Fairmount Blvd
Portland, OR 97239-1433
Portland, OR 97239-1433
Multnomah County