Stacey Randall Holm
ExpiredCalifornia license 38427
License
- Licensed by
- Dental Board of California
- License number
- 38427
- Status
- Expired (Delinquent)
- First issued
- July 30, 1990
- Expired
- October 31, 2025
- License holder
- Stacey Randall Holm
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
PO Box 2336
Avila Beach, CA 93424-2336
Avila Beach, CA 93424-2336
San Luis Obispo County