Susan Gina Lynn Black
ActiveCalifornia license 69133
License
- Licensed by
- Dental Board of California
- License number
- 69133
- Status
- Active (Current)
- First issued
- May 4, 2007
- Expires
- March 31, 2028
- License holder
- Susan Gina Lynn Black
- Entity type
- Individual
Classifications
- Registered Dental Assistant Dental
More from the license record
- License type code
- 4413
Contact
PO Box 7208
Laguna Niguel, CA 92607-7208
Laguna Niguel, CA 92607-7208
Orange County