Shannon Sydney Russell
ActiveCalifornia license 55030
License
- Licensed by
- Dental Board of California
- License number
- 55030
- Status
- Active (Current)
- First issued
- September 20, 2006
- Expires
- May 31, 2028
- License holder
- Shannon Sydney Russell
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
386 N Main St
Angels Camp, CA 95222-9322
Angels Camp, CA 95222-9322
Calaveras County