Shane Mark Douglas

License

Licensed by

Dental Board of California

License number

61439

Status

Active (Current)

First issued

June 28, 2012

Expires

April 30, 2028

License holder

Shane Mark Douglas

Entity type

Individual

Classifications

• Dental License Dental

More from the license record

License type code

4401

Other California licenses under this name

• CA
  Shane Mark Douglas

  License 420

  Moderate Sedation Permit
  Active

  Rocklin, CA

  Expires Apr 30, 2028

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