Dwayne Robert Burbach
ExpiredCalifornia license 28846
License
- Licensed by
- Dental Board of California
- License number
- 28846
- Status
- Expired (Delinquent)
- First issued
- July 8, 1980
- Expired
- May 31, 2022
- License holder
- Dwayne Robert Burbach
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
12605 Santa Ana Rd
Atascadero, CA 93422-1166
Atascadero, CA 93422-1166
San Luis Obispo County