Mary Vivianne Shannon
ActiveCalifornia license 48769
License
- Licensed by
- Dental Board of California
- License number
- 48769
- Status
- Active (Current)
- First issued
- August 16, 2001
- Expires
- September 30, 2028
- License holder
- Mary Vivianne Shannon
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
2730 Wilshire Blvd Ste 460
Santa Monica, CA 90403-4831
Santa Monica, CA 90403-4831
Los Angeles County