Shane Mark Douglas

License

Licensed by

Dental Board of California

License number

420

Status

Active (Current)

First issued

April 12, 2024

Expires

April 30, 2028

License holder

Shane Mark Douglas

Entity type

Individual

Classifications

• Moderate Sedation Permit Dental

More from the license record

License type code

4417

Related

Douglas Shane (61439)

Other California licenses under this name

• CA
  Shane Mark Douglas

  License 61439

  Dental License
  Active

  Rocklin, CA

  Expires Apr 30, 2028

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