Daniel Scott Tiedeman
ActiveCalifornia license 12657
License
- Licensed by
- California State Board of Optometry
- License number
- 12657
- Status
- Active (Current)
- First issued
- July 2, 2004
- Expires
- March 31, 2027
- License holder
- Daniel Scott Tiedeman
- Entity type
- Individual
Classifications
- optometry/Optometrist Optometrist Vision & Hearing
More from the license record
- License type code
- 4201
Contact
9394 Big Horn Blvd
Elk Grove, CA 95758
Elk Grove, CA 95758
Sacramento County