Amanda Nicole Sullivan
ActiveCalifornia license 36065
License
- Licensed by
- Dental Board of California
- License number
- 36065
- Status
- Active (Current)
- First issued
- June 17, 2016
- Expires
- May 31, 2028
- License holder
- Amanda Nicole Sullivan
- Entity type
- Individual
Classifications
- RDA in Extended Functions Dental
More from the license record
- License type code
- 4414
- Related
- Sullivan Amanda (80501)
Contact
101 Chamomile Gln
107
Escondido, CA 92025-2772
107
Escondido, CA 92025-2772
San Diego County