The holder whose full name is Briney, Jeffrey Richard,come from Dana Point CA,hold the Dental Intern Permit license(NO.42000097A) which status is Expired.
| Name | Briney, Jeffrey Richard |
|---|---|
| License Number | 42000097A |
| License Type | Dental Intern Permit |
| License Status | Expired |
| City | Dana Point |
| State | CA |