Lisa Marie Clark
ExpiredCalifornia license 64888
License
- Licensed by
- Dental Board of California
- License number
- 64888
- Status
- Expired (Delinquent)
- First issued
- August 19, 2005
- Expired
- May 31, 2022
- License holder
- Lisa Marie Clark
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
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Contact
2218 Buena Creek Rd
Vista, CA 92084
Vista, CA 92084
San Diego County