ANTIOCH RICHARD JACK
Dental License
California 28121 Canceled
This California license was held by ANTIOCH RICHARD JACK. The license is no longer active. It was granted on 07/20/1979 and expired on 10/31/2007
LICENSE DETAILS
- License Number: 28121
- Category: Dental License
- Status: Canceled
- Date Granted: 07/20/1979 (almost 45 years ago)
- Expiry Date: 10/31/2007 (over 16 years ago)
LOCATIONS
A Address
6885 BROCKTON AVE NO 3 RIVERSIDE CA 92506