License Directory

Shannon Sydney Russell

Active

California 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

More from the license record

License type code
4401

Contact

386 N Main St
Angels Camp, CA 95222-9322
Calaveras County