Shannon Kelly Blair
ExpiredCalifornia license 106783
License
- Licensed by
- Dental Board of California
- License number
- 106783
- Status
- Expired (Delinquent)
- First issued
- August 4, 2021
- Expired
- November 30, 2025
- License holder
- Shannon Kelly Blair
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
1403 Inyo St
167a
Crescent City, CA 95531-2147
167a
Crescent City, CA 95531-2147
Del Norte County