California
Department of Consumer Affairs
ELI JENNIFER BLAKE
Dental License
License number
52601
Date granted
07/29/2004
Date expires
12/31/2016
Class
Dental License
Status
Current
Address
23321 EL TORO RD LAKE FOREST CA 92630
californialicensing.org
ID 19780962
LAST UPDATED 2024-04-01 01:52:11 UTC
LAST UPDATED 2024-04-01 01:52:11 UTC
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