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
LAST UPDATED 2024-03-16 11:38:05 UTC
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