License holder summary

BERGENDAHL KELLIE R is a Registered Dental Assistant licensed to practice in California. This dentist license is not current. The license was granted 04/13/1992 and expired on 07/31/2012.

Department of Consumer Affairs

Dental Board of California

BERGENDAHL KELLIE R
Registered Dental Assistant
License number
36599
Date granted
04/13/1992
Date expires
07/31/2012
Class
Registered Dental Assistant
Status
Delinquent
dentistscalifornia.org
ID 10978140
LAST UPDATED 2024-03-24 11:14:16 UTC

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