Michael James Stout
ActiveCalifornia license 103054
License
- Licensed by
- Dental Board of California
- License number
- 103054
- Status
- Active (Current)
- First issued
- August 10, 2018
- Expires
- March 31, 2028
- License holder
- Michael James Stout
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3967 Missouri Flat Rd
120
Placerville, CA 95667-5250
120
Placerville, CA 95667-5250
El Dorado County