Jonathan Michael Moreno
ExpiredCalifornia license 50213
License
- Licensed by
- Dental Board of California
- License number
- 50213
- Status
- Expired (Delinquent)
- First issued
- April 7, 2023
- Expired
- August 31, 2023
- License holder
- Jonathan Michael Moreno
- Entity type
- Individual
Classifications
- Orthodontic Assistant Dental
More from the license record
- License type code
- 4415
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Contact
4650 Bamboo Way
Fair Oaks, CA 95628
Fair Oaks, CA 95628
Sacramento County