Spencer Blake Nielsen
ExpiredCalifornia license 108450
License
- Licensed by
- Dental Board of California
- License number
- 108450
- Status
- Expired (Delinquent)
- First issued
- December 23, 2022
- Expired
- January 31, 2024
- License holder
- Spencer Blake Nielsen
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
11174 Richmont Rd
Loma Linda, CA 92354
Loma Linda, CA 92354
San Bernardino County