License holder summary

LACY JENNIFER MICHELE is a Registered Dental Assistant licensed to practice in California. This dentist license is not current. The license was granted 06/30/2004 and expired on 09/30/2004.

Department of Consumer Affairs

Dental Board of California

LACY JENNIFER MICHELE
Registered Dental Assistant
License number
62004
Date granted
06/30/2004
Date expires
09/30/2004
Class
Registered Dental Assistant
Status
Canceled
dentistscalifornia.org
ID 19750284
LAST UPDATED 2024-03-31 16:08:55 UTC

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