David S Crockett
ExpiredCalifornia license 26977
License
- Licensed by
- Dental Board of California
- License number
- 26977
- Status
- Expired (Delinquent)
- First issued
- October 25, 1977
- Expired
- December 31, 2022
- License holder
- David S Crockett
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
22296 Main St
Hayward, CA 94541-4005
Hayward, CA 94541-4005
Alameda County