Jacob Johnson Hanseen
ActiveCalifornia license 103563
License
- Licensed by
- Dental Board of California
- License number
- 103563
- Status
- Active (Current)
- First issued
- February 25, 2019
- Expires
- December 31, 2026
- License holder
- Jacob Johnson Hanseen
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1119 Englewild Dr
Glendora, CA 91741-2286
Glendora, CA 91741-2286
Los Angeles County