JEROME BERNARD SIMON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012031

License Status

NOT RENEWED

Business

First Name

JEROME BERNARD

Last Name

SIMON

Suffix

DDS

Business Name

JEROME BERNARD SIMON DDS

Original Issue Date

12/21/1961

Effective Date

12/21/1961

Expiration Date

09/30/1984

City

HARBOR CITY

State

Zip

90710

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005