License holder summary

BLACK MISTY M is a Dental - Conscious Sedation Permit licensed to practice in California. The address on file for BLACK MISTY M is LOS ANGELES. This licensed professional license is not current. The license was granted 03/15/2011 and expired on 08/31/2014.

California

Department of Consumer Affairs

BLACK MISTY M
Dental - Conscious Sedation Permit
License number
727
Date granted
03/15/2011
Date expires
08/31/2014
Class
Dental - Conscious Sedation Permit
Status
Canceled
Address
LOS ANGELES
californialicensing.org
ID 10901504
LAST UPDATED 2024-06-09 10:13:57 UTC

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