Roy Jerome Fogelman
ExpiredCalifornia license 21876
License
- Licensed by
- Dental Board of California
- License number
- 21876
- Status
- Expired (Delinquent)
- First issued
- January 1, 1971
- Expired
- November 30, 2023
- License holder
- Roy Jerome Fogelman
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2116 Mountain City St
Henderson, NV 89052
Henderson, NV 89052
Clark County