David Phillip Brock
ExpiredCalifornia license 49728
License
- Licensed by
- Dental Board of California
- License number
- 49728
- Status
- Expired (Delinquent)
- First issued
- August 26, 2002
- Expired
- September 30, 2021
- License holder
- David Phillip Brock
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
195 Million Ln
Versailles, KY 40383
Versailles, KY 40383
Woodford County