Gary Wallace Moss
ExpiredCalifornia license 23219
License
- Licensed by
- Dental Board of California
- License number
- 23219
- Status
- Expired (Delinquent)
- First issued
- January 1, 1973
- Expired
- November 30, 2022
- License holder
- Gary Wallace Moss
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1680 Westwood Drive Ste D
San Jose, CA 95125
San Jose, CA 95125
Santa Clara County