Dental Board of California
Licensing details for: 48514
Name: MORAN, ALICE POLEY
License Type: Dentist
Primary Status: Expired
Secondary Status: Public Reprimand
Address of Record
39788 CAMINO MICHANITO
INDIO CA 92203
RIVERSIDE county
Map
License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: MORAN, ALICE POLEY
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1226 Primary Status: Cancelled
Address :
1103 PANADERO
SAN CLEMENTE CA 92673
ORANGE COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: MORAN, ALICE POLEY
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 4362 Primary Status: Expired
Address :
39788 Camino Michanito
INDIO CA 92203-4346
RIVERSIDE COUNTY
