License Directory

Jacqueline Kormann

Expired

California license 104819

License

Licensed by
Dental Board of California
License number
104819
Status
Expired (Delinquent)
First issued
March 3, 2020
Expired
March 31, 2023
License holder
Jacqueline Kormann
Entity type
Individual

Classifications

More from the license record

License type code
4401

Contact

12915 Mountain View Rd Apt B
Sonora, CA 95370-5301
Tuolumne County