Department of Consumer Affairs
Dental Board of California
POLK STACEY BERENICE
Registered Dental Assistant
License number
34651
Date granted
05/16/1991
Date expires
06/30/2008
Class
Registered Dental Assistant
Status
SUSP-NO QUALIFIER
dentistscalifornia.org
ID 10981112
LAST UPDATED 2024-03-10 18:54:37 UTC
LAST UPDATED 2024-03-10 18:54:37 UTC
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