Department of Consumer Affairs
Dental Board of California
BLAKE SHANNON MARIE
Registered Dental Assistant
License number
48114
Date granted
04/17/1997
Date expires
06/30/2004
Class
Registered Dental Assistant
Status
SUSP-NO QUALIFIER
dentistscalifornia.org
ID 19750339
LAST UPDATED 2024-03-22 05:43:33 UTC
LAST UPDATED 2024-03-22 05:43:33 UTC
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