License holder summary

WAGONER MARYELLEN is a Registered Dental Assistant licensed to practice in California. This dentist license is current. The license was granted 06/23/2014 and expired on 05/31/2016.

Department of Consumer Affairs

Dental Board of California

WAGONER MARYELLEN
Registered Dental Assistant
License number
83146
Date granted
06/23/2014
Date expires
05/31/2016
Class
Registered Dental Assistant
Status
Current
dentistscalifornia.org
ID 19755381
LAST UPDATED 2026-04-05 15:06:33 UTC

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