Harry Martin Shively
InactiveCalifornia license 32396
License
- Licensed by
- Dental Board of California
- License number
- 32396
- Status
- Inactive (CurrentInactive)
- First issued
- June 22, 1984
- Expires
- June 30, 2028
- License holder
- Harry Martin Shively
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
78338 Silverleaf Ct
Palm Desert, CA 92211-2329
Palm Desert, CA 92211-2329
Riverside County