License holder summary

MALLERY MARTINA is a Dental License licensed to practice in California. The address on file for MALLERY MARTINA is 11 WILLOW WIND ALISO VIEJO CA 92656. This licensed professional license is not current. The license was granted 07/29/2004 and expired on 07/31/2010.

California

Department of Consumer Affairs

MALLERY MARTINA
Dental License
License number
52644
Date granted
07/29/2004
Date expires
07/31/2010
Class
Dental License
Status
Canceled
Address
11 WILLOW WIND ALISO VIEJO CA 92656
californialicensing.org
ID 19766164
LAST UPDATED 2024-03-08 02:21:04 UTC

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