Micah Randal Elloway
ExpiredCalifornia license 108894
License
- Licensed by
- Dental Board of California
- License number
- 108894
- Status
- Expired (Delinquent)
- First issued
- June 23, 2023
- Expired
- May 31, 2025
- License holder
- Micah Randal Elloway
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2426 South Main Street
Red Bluff, CA 96080
Red Bluff, CA 96080
Tehama County