License holder summary

KENA SHADDOX is a Dental - Registered Provider licensed to practice in California. The address on file for KENA SHADDOX is SAN BERNARDINO. This licensed professional license is not current. The license was granted 09/23/1997 and expired on 09/30/2011.

California

Department of Consumer Affairs

KENA SHADDOX
Dental - Registered Provider
License number
3564
Date granted
09/23/1997
Date expires
09/30/2011
Class
Dental - Registered Provider
Status
Delinquent
Address
SAN BERNARDINO
californialicensing.org
ID 19813435
LAST UPDATED 2024-02-24 23:58:01 UTC

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