License holder summary

BLANK KELLY IRENE is a Registered Dental Assistant licensed to practice in California. This dentist license is not current. The license was granted 04/16/1996 and expired on 12/31/2016.

Department of Consumer Affairs

Dental Board of California

BLANK KELLY IRENE
Registered Dental Assistant
License number
45973
Date granted
04/16/1996
Date expires
12/31/2016
Class
Registered Dental Assistant
Status
Inactive
dentistscalifornia.org
ID 19747209
LAST UPDATED 2026-04-21 06:42:55 UTC

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