Shannon Leigh Nissen
ActiveCalifornia license 56349
License
- Licensed by
- Dental Board of California
- License number
- 56349
- Status
- Active (Current)
- First issued
- September 5, 2007
- Expires
- September 30, 2028
- License holder
- Shannon Leigh Nissen
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
26302 La Paz Rd #202
Mission Viejo, CA 92691
Mission Viejo, CA 92691
Orange County