Joshua Onealious Blake
ExpiredCalifornia license 107218
License
- Licensed by
- Dental Board of California
- License number
- 107218
- Status
- Expired (Delinquent)
- First issued
- December 28, 2021
- Expired
- June 30, 2024
- License holder
- Joshua Onealious Blake
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
12026 Brooklyn Avenue
Charlotte, NC 28204
Charlotte, NC 28204
Mecklenburg County