Jackson Robert Lewis
ActiveCalifornia license 110949
License
- Licensed by
- Dental Board of California
- License number
- 110949
- Status
- Active (Current)
- First issued
- October 17, 2024
- Expires
- January 31, 2027
- License holder
- Jackson Robert Lewis
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
140 N Villa St
Porterville, CA 93257
Porterville, CA 93257
Tulare County