Jesse Daryl Lewis
ActiveCalifornia license 111063
License
- Licensed by
- Dental Board of California
- License number
- 111063
- Status
- Active (Current)
- First issued
- November 24, 2024
- Expires
- September 30, 2027
- License holder
- Jesse Daryl Lewis
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1601 Broadway Apt 438
San Diego, CA 92101-5709
San Diego, CA 92101-5709