Jared Wayne Mack
ExpiredCalifornia license 57690
License
- Licensed by
- Dental Board of California
- License number
- 57690
- Status
- Expired (Delinquent)
- First issued
- September 10, 2008
- Expired
- December 31, 2022
- License holder
- Jared Wayne Mack
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2791 E 1140 S
Saint George, UT 84790
Saint George, UT 84790
Washington County