Blain Ross Jacobson
ActiveCalifornia license 56390
License
- Licensed by
- Dental Board of California
- License number
- 56390
- Status
- Active (Current)
- First issued
- September 21, 2007
- Expires
- January 31, 2027
- License holder
- Blain Ross Jacobson
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4434 Kewanee St
Fair Oaks, CA 95628
Fair Oaks, CA 95628
Sacramento County