License holder summary

BLAKE SHANNON MARIE is a Registered Dental Assistant licensed to practice in California. This dentist license is not current. The license was granted 04/17/1997 and expired on 06/30/2004.

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 2026-07-20 01:05:39 UTC

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