Dental Board of California
Licensing details for: 34167
Name: MORRISSETTE, MICHAEL P
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Early Termination of Probation
Address of Record
2749 Loma Vista Rd
VENTURA CA 93003-1544
VENTURA county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: MICHAEL P. MORRISSETTE, DDS
License/Registration Type: Additional Office Permit
License Number: 10582 Primary Status: Cancelled
Address :
2749 LOMA VISTA RD.
VENTURA CA 93003
VENTURA COUNTY
FCS to DDS
License/Registration Role: Must hold an active Dental License
Related Party Role: Elective Facial Cosmetic Surgery Permit
Name: MORRISSETTE, MICHAEL P
License/Registration Type: Elective Facial Cosmetic Surgery Permit
License Number: 20 Primary Status: Current - Active
Address :
2749 LOMA VISTA
VENTURA CA 93003
VENTURA COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: COURTYARD FACIAL & ORAL SURGERY DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 6256 Primary Status: Cancelled
Address :
3801 LAS POSAS RD
CAMARILLO CA 93010
VENTURA COUNTY
GA to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: General Anesthesia Permit
Name: MORRISSETTE, MICHAEL P
License/Registration Type: General Anesthesia Permit
License Number: 901 Primary Status: Current - Active
Address :
2749 LOMA VISTA RD.
VENTURA CA 93003
VENTURA COUNTY
