License holder summary

FORTENBERRY KELLY ANN is a Registered Dental Assistant licensed to practice in California. This dentist license is current. The license was granted 04/09/2004 and expired on 08/31/2016.

Department of Consumer Affairs

Dental Board of California

FORTENBERRY KELLY ANN
Registered Dental Assistant
License number
61651
Date granted
04/09/2004
Date expires
08/31/2016
Class
Registered Dental Assistant
Status
Current
dentistscalifornia.org
ID 10952339
LAST UPDATED 2024-04-08 18:30:54 UTC

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