Justin Etheredge Stout
ActiveCalifornia license 62341
License
- Licensed by
- Dental Board of California
- License number
- 62341
- Status
- Active (Current)
- First issued
- May 10, 2013
- Expired
- October 31, 2026
- License holder
- Justin Etheredge Stout
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2796 Sycamore Dr Ste 200
Simi Valley, CA 93065-1549
Simi Valley, CA 93065-1549
Ventura County