California
Department of Consumer Affairs
DOUGLAS SHANE MARK
Dental License
License number
61439
Date granted
06/28/2012
Date expires
04/30/2016
Class
Dental License
Status
Current
Address
3700 ATHERTON RD ROCKLIN CA 95765
californialicensing.org
ID 19793656
LAST UPDATED 2026-05-05 17:53:42 UTC
LAST UPDATED 2026-05-05 17:53:42 UTC
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