Jacob Carmondy Simon
ExpiredCalifornia license 105764
License
- Licensed by
- Dental Board of California
- License number
- 105764
- Status
- Expired (Delinquent)
- First issued
- November 2, 2020
- Expired
- January 31, 2023
- License holder
- Jacob Carmondy Simon
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1277 Waller Street
San Francisco, CA 94117
San Francisco, CA 94117
San Francisco County