Daniel Jeffrey Fordice
ExpiredCalifornia license 104269
License
- Licensed by
- Dental Board of California
- License number
- 104269
- Status
- Expired (Delinquent)
- First issued
- August 8, 2019
- Expired
- September 30, 2021
- License holder
- Daniel Jeffrey Fordice
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1611 Knollwood Dr
Fairmont, MN 56031-2313
Fairmont, MN 56031-2313
Martin County