Amanda Diane Ellis
ActiveCalifornia license 37075
License
- Licensed by
- Dental Board of California
- License number
- 37075
- Status
- Active (Current)
- First issued
- October 13, 2023
- Expires
- November 30, 2027
- License holder
- Amanda Diane Ellis
- Entity type
- Individual
Classifications
- RDA in Extended Functions Dental
More from the license record
- License type code
- 4414
Other California licenses under this name
-
CA
ExpiredAuburn, CAExpired Nov 30, 2023
Contact
340 Upper Lake Rd.
Auburn, CA 95602
Auburn, CA 95602
Placer County