Jefferson Lee Clark
ActiveCalifornia license 63225
License
- Licensed by
- Dental Board of California
- License number
- 63225
- Status
- Active (Current)
- First issued
- January 22, 2014
- Expires
- January 31, 2028
- License holder
- Jefferson Lee Clark
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2350 Professional Dr
Suite 100
Roseville, CA 95661-7747
Suite 100
Roseville, CA 95661-7747
Placer County