Ted Norman Chaffee
ExpiredCalifornia license 22722
License
- Licensed by
- Dental Board of California
- License number
- 22722
- Status
- Expired (Delinquent)
- First issued
- January 1, 1972
- Expired
- December 31, 2022
- License holder
- Ted Norman Chaffee
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2950 Sycamore Dr
Suite 103
Simi Valley, CA 93065
Suite 103
Simi Valley, CA 93065
Ventura County