JACOB LEIGH BEVERIDGE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011776

License Status

INACTIVE

Business

First Name

JACOB LEIGH

Last Name

BEVERIDGE

Business Name

JACOB LEIGH BEVERIDGE

Original Issue Date

08/10/1960

Effective Date

08/10/1960

Expiration Date

09/30/1990

City

SAN JOSE

State

Zip

95124

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005