Alisa Raquel Mangrum

License

Licensed by

Dental Board of California

License number

59705

Status

Active (Current)

First issued

November 22, 2002

Expires

May 31, 2027

License holder

Alisa Raquel Mangrum

Entity type

Individual

Classifications

• Registered Dental Assistant Dental

More from the license record

License type code

4413

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