Jeffrey Bernard Ballen
ExpiredCalifornia license 22575
License
- Licensed by
- Dental Board of California
- License number
- 22575
- Status
- Expired (Delinquent)
- First issued
- January 1, 1972
- Expired
- April 30, 2024
- License holder
- Jeffrey Bernard Ballen
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
32138 Canyon Crest Court
Westlake Village, CA 91361
Westlake Village, CA 91361
Ventura County