License holder summary

BLAKE LISA JANE is a Registered Dental Assistant licensed to practice in California. This dentist license is not current. The license was granted 04/22/1987 and expired on 07/31/1993.

Department of Consumer Affairs

Dental Board of California

BLAKE LISA JANE
Registered Dental Assistant
License number
28098
Date granted
04/22/1987
Date expires
07/31/1993
Class
Registered Dental Assistant
Status
Canceled
dentistscalifornia.org
ID 10909670
LAST UPDATED 2021-06-04 01:10:29 UTC

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