California
Department of Consumer Affairs
PROMACK PATRICE ANN
Dental License
License number
29963
Date granted
07/01/1981
Date expires
11/30/1999
Class
Dental License
Status
Canceled
Address
113 MAPLE CREEK DRIVE MARTINEZ GA 30907
californialicensing.org
ID 19785631
LAST UPDATED 2026-08-20 03:03:21 UTC
LAST UPDATED 2026-08-20 03:03:21 UTC
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