Jason Randall Ballou

License

Licensed by

Dental Board of California

License number

50568

Status

Active (Current)

First issued

December 24, 2002

Expires

September 30, 2027

License holder

Jason Randall Ballou

Entity type

Individual

Classifications

• Dental License Dental

More from the license record

License type code

4401

Other California licenses under this name

• CA
  Jason Randall Ballou

  License 2100

  Oral Conscious Sedation Certificate
  Active

  Mission Viejo, CA

  Expires Sep 30, 2027

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