Jacqueline R Lewis
InactiveCalifornia license 21678
License
- Licensed by
- Dental Board of California
- License number
- 21678
- Status
- Inactive (CurrentInactive)
- First issued
- January 1, 1971
- Expires
- September 30, 2028
- License holder
- Jacqueline R Lewis
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
25111 Sea Vista Dr
Dana Point, CA 92629
Dana Point, CA 92629
Orange County