JACKSON - HEISE OMS
Dental - Registered Provider
California 2718 Delinquent
This California license was held by JACKSON - HEISE OMS. The license is no longer active. It was granted on 03/16/1990 and expired on 03/31/2012
LICENSE DETAILS
- License Number: 2718
- Category: Registered Provider
- Status: Delinquent
- Date Granted: 03/16/1990 (over 34 years ago)
- Expiry Date: 03/31/2012 (about 12 years ago)
LOCATIONS
A Address
SACRAMENTO