Theron Andrew Stout
ActiveCalifornia license 165
License
- Licensed by
- Dental Board of California
- License number
- 165
- Status
- Active (Current)
- First issued
- October 6, 2023
- Expires
- October 31, 2027
- License holder
- Theron Andrew Stout
- Entity type
- Individual
Classifications
- Pediatric Minimal Sedation Permit Dental
More from the license record
- License type code
- 4418
- Related
- Stout Theron (50103)
Other California licenses under this name
-
CA
ActivePaso Robles, CAExpires Oct 31, 2027
Contact
209 Meadowlark Rd.
Paso Robles, CA 93446
Paso Robles, CA 93446
San Luis Obispo County