Daryl Bruce Payne
ExpiredCalifornia license 24585
License
- Licensed by
- Dental Board of California
- License number
- 24585
- Status
- Expired (Delinquent)
- First issued
- January 1, 1974
- Expired
- October 31, 2023
- License holder
- Daryl Bruce Payne
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
525 South Fairmont Avenue
Suite C
Lodi, CA 95240
Suite C
Lodi, CA 95240
San Joaquin County