Charles Keith Balisha
ExpiredCalifornia license 27584
License
- Licensed by
- Dental Board of California
- License number
- 27584
- Status
- Expired (Delinquent)
- First issued
- July 27, 1978
- Expired
- May 31, 2025
- License holder
- Charles Keith Balisha
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
215 N Thor
Turlock, CA 95380
Turlock, CA 95380
Stanislaus County