Frederick Lyle Bunch
ExpiredCalifornia license 21974
License
- Licensed by
- Dental Board of California
- License number
- 21974
- Status
- Expired (Delinquent)
- First issued
- January 1, 1971
- Expired
- November 30, 2021
- License holder
- Frederick Lyle Bunch
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2125 Grenoble Drive
Lodi, CA 95242
Lodi, CA 95242
San Joaquin County