Jacqueline Kormann
ExpiredCalifornia 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
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
12915 Mountain View Rd Apt B
Sonora, CA 95370-5301
Sonora, CA 95370-5301
Tuolumne County