Jack R Holt
ExpiredCalifornia license 16922
License
- Licensed by
- Dental Board of California
- License number
- 16922
- Status
- Expired (Delinquent)
- First issued
- January 1, 1963
- Expired
- July 31, 2022
- License holder
- Jack R Holt
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1316 Coffee Rd, Bldg C
Modesto, CA 95355
Modesto, CA 95355
Stanislaus County