License holder summary

BLACKETER SHANNON RAE is a Registered Dental Assistant licensed to practice in California. This dentist license is not current. The license was granted 04/18/1994 and expired on 05/31/1998.

Department of Consumer Affairs

Dental Board of California

BLACKETER SHANNON RAE
Registered Dental Assistant
License number
40591
Date granted
04/18/1994
Date expires
05/31/1998
Class
Registered Dental Assistant
Status
Canceled
dentistscalifornia.org
ID 19759501
LAST UPDATED 2026-03-13 18:15:44 UTC

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