John Robert Licking
ActiveCalifornia license 21321
License
- Licensed by
- Dental Board of California
- License number
- 21321
- Status
- Active (Current)
- First issued
- January 1, 1970
- Expires
- June 30, 2028
- License holder
- John Robert Licking
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
730 Altos Oaks Dr
Los Altos, CA 94024-5401
Los Altos, CA 94024-5401
Santa Clara County