Shelby Diana Maurice
ExpiredCalifornia license 105665
License
- Licensed by
- Dental Board of California
- License number
- 105665
- Status
- Expired (Delinquent)
- First issued
- October 7, 2020
- Expired
- April 30, 2023
- License holder
- Shelby Diana Maurice
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3009 Wavecrest Way
Lexington, KY 40509
Lexington, KY 40509
Fayette County