License holder summary

FORMILLER MARY LOUISE is a Registered Dental Assistant licensed to practice in California. This dentist license is not current. The license was granted 09/22/1985 and expired on 05/31/2017.

Department of Consumer Affairs

Dental Board of California

FORMILLER MARY LOUISE
Registered Dental Assistant
License number
26219
Date granted
09/22/1985
Date expires
05/31/2017
Class
Registered Dental Assistant
Status
Inactive
dentistscalifornia.org
ID 10945318
LAST UPDATED 2026-04-23 10:56:33 UTC

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