License holder summary

BLACK KELLY RACHELLE is a Registered Dental Assistant licensed to practice in California. This dentist license is not current. The license was granted 04/10/1981 and expired on 09/30/1984.

Department of Consumer Affairs

Dental Board of California

BLACK KELLY RACHELLE
Registered Dental Assistant
License number
15024
Date granted
04/10/1981
Date expires
09/30/1984
Class
Registered Dental Assistant
Status
Canceled
dentistscalifornia.org
ID 10964052
LAST UPDATED 2026-05-20 20:11:17 UTC

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