License holder summary

BLAKE AMY SUSANNE is a Dental License licensed to practice in California. The address on file for BLAKE AMY SUSANNE is 323 MANOR DRIVE PACIFICA CA 94044. This licensed professional license is current. The license was granted 07/31/2015 and expired on 01/31/2016.

California

Department of Consumer Affairs

BLAKE AMY SUSANNE
Dental License
License number
64912
Date granted
07/31/2015
Date expires
01/31/2016
Class
Dental License
Status
Current
Address
323 MANOR DRIVE PACIFICA CA 94044
californialicensing.org
ID 31316717
LAST UPDATED 2026-04-30 19:32:03 UTC

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