JACK ROBERT HOLT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011341

License Status

NOT RENEWED

Business

First Name

JACK ROBERT

Last Name

HOLT

Suffix

DDS

Business Name

JACK ROBERT HOLT DDS

Original Issue Date

08/14/1958

Effective Date

08/14/1958

City

MODESTO

State

Zip

95355

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005