License holder summary

FULLER SHANE ALAN is a Dental License licensed to practice in California. The address on file for FULLER SHANE ALAN is 71600 GARDESS ROAD RANCHO MIRAGE CA 92270. This licensed professional license is current. The license was granted 05/29/2014 and expired on 02/28/2017.

California

Department of Consumer Affairs

FULLER SHANE ALAN
Dental License
License number
63426
Date granted
05/29/2014
Date expires
02/28/2017
Class
Dental License
Status
Current
Address
71600 GARDESS ROAD RANCHO MIRAGE CA 92270
californialicensing.org
ID 19792115
LAST UPDATED 2024-03-16 11:38:05 UTC

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