License holder summary

FORMOSA ANN MARIE is a Registered Dental Assistant licensed to practice in California. This dentist license is not current. The license was granted 11/17/1989 and expired on 08/31/2005.

Department of Consumer Affairs

Dental Board of California

FORMOSA ANN MARIE
Registered Dental Assistant
License number
31930
Date granted
11/17/1989
Date expires
08/31/2005
Class
Registered Dental Assistant
Status
SUSP-NO QUALIFIER
dentistscalifornia.org
ID 19747765
LAST UPDATED 2026-07-09 22:58:48 UTC

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