License holder summary

BLAYLOCK CONNIE DIANNE is a Registered Dental Assistant licensed to practice in California. This dentist license is not current. The license was granted 12/23/2004 and expired on 01/31/2007.

Department of Consumer Affairs

Dental Board of California

BLAYLOCK CONNIE DIANNE
Registered Dental Assistant
License number
63586
Date granted
12/23/2004
Date expires
01/31/2007
Class
Registered Dental Assistant
Status
Canceled
dentistscalifornia.org
ID 10948777
LAST UPDATED 2026-05-24 07:34:51 UTC

This website is unaffiliated with the Dental Board of California. Please verify all information directly with the relevant official government authority.

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