Kelly Boulom
ExpiredCalifornia license 50127
License
- Licensed by
- Dental Board of California
- License number
- 50127
- Status
- Expired (Delinquent)
- First issued
- August 19, 2002
- Expired
- May 31, 2024
- License holder
- Kelly Boulom
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
26022 Cuyahoga Cir
San Antonio, TX 78260-3567
San Antonio, TX 78260-3567
Bexar County