Matthew Jon Stark
InactiveCalifornia license 56420
License
- Licensed by
- Dental Board of California
- License number
- 56420
- Status
- Inactive (CurrentInactive)
- First issued
- September 25, 2007
- Expires
- December 31, 2026
- License holder
- Matthew Jon Stark
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
4840 Chicago Ave
Apt 1
Minneapolis, MN 55417-1058
Apt 1
Minneapolis, MN 55417-1058
Hennepin County