Brandon Boekamp Fowler
ExpiredCalifornia license 57470
License
- Licensed by
- Dental Board of California
- License number
- 57470
- Status
- Expired (Delinquent)
- First issued
- August 7, 2008
- Expired
- January 31, 2022
- License holder
- Brandon Boekamp Fowler
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1718 S Millenium Way
Meridian, ID 83642-1511
Meridian, ID 83642-1511
Ada County