Andrew Jackson Thibodeaux
ExpiredCalifornia license 26005
License
- Licensed by
- Dental Board of California
- License number
- 26005
- Status
- Expired (Delinquent)
- First issued
- July 8, 1976
- Expired
- March 31, 2024
- License holder
- Andrew Jackson Thibodeaux
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1058 N Maclay
San Fernando, CA 91340
San Fernando, CA 91340
Los Angeles County