License holder summary

KELLY RANDALL SHAWN is a Dental - Conscious Sedation Permit licensed to practice in California. The address on file for KELLY RANDALL SHAWN is ROSEVILLE. This licensed professional license is not current. The license was granted 09/09/1999 and expired on 06/30/2015.

California

Department of Consumer Affairs

KELLY RANDALL SHAWN
Dental - Conscious Sedation Permit
License number
366
Date granted
09/09/1999
Date expires
06/30/2015
Class
Dental - Conscious Sedation Permit
Status
Canceled
Address
ROSEVILLE
californialicensing.org
ID 10902543
LAST UPDATED 2024-04-30 23:46:09 UTC

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