Mark Lee Gjerde
ExpiredCalifornia license 25711
License
- Licensed by
- Dental Board of California
- License number
- 25711
- Status
- Expired (Delinquent)
- First issued
- July 8, 1976
- Expired
- November 30, 2024
- License holder
- Mark Lee Gjerde
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
25375 Arnold Lane
Elmira, OR 97437
Elmira, OR 97437
Lane County