Kenneth Edward Way Jr
ExpiredCalifornia license 26936
License
- Licensed by
- Dental Board of California
- License number
- 26936
- Status
- Expired (Delinquent)
- First issued
- July 19, 1977
- Expired
- July 31, 2022
- License holder
- Kenneth Edward Way Jr
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
5163 Garden Grove Ave
Tarzana, CA 91356-4340
Tarzana, CA 91356-4340
Los Angeles County