Stacey A Eby
InactiveCalifornia license 64575
License
- Licensed by
- Dental Board of California
- License number
- 64575
- Status
- Inactive (CurrentInactive)
- First issued
- June 19, 2015
- Expires
- March 31, 2028
- License holder
- Stacey A Eby
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1100 Madison Avenue
Fort Atkinson, WI 53538
Fort Atkinson, WI 53538
Jefferson County