David Eastman Brockett
ExpiredCalifornia license 25483
License
- Licensed by
- Dental Board of California
- License number
- 25483
- Status
- Expired (Delinquent)
- First issued
- March 19, 1976
- Expired
- September 30, 2022
- License holder
- David Eastman Brockett
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
7804 Ivanhoe Ave
La Jolla, CA 92037
La Jolla, CA 92037
San Diego County