License holder summary

FORMOLI SHAHNAZ L is a Dental - Oral Conscious Sedation Certification licensed to practice in California. The address on file for FORMOLI SHAHNAZ L is SACRAMENTO. This licensed professional license is not current. The license was granted 04/18/2012 and expired on 03/31/2015.

California

Department of Consumer Affairs

FORMOLI SHAHNAZ L
Dental - Oral Conscious Sedation Certification
License number
2747
Date granted
04/18/2012
Date expires
03/31/2015
Class
Dental - Oral Conscious Sedation Certification
Status
Delinquent
Address
SACRAMENTO
californialicensing.org
ID 11168111
LAST UPDATED 2024-03-29 22:17:45 UTC

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