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Licensing details for: 531

Name: LEETCH, SHAWN CHRISTIAN

License Type: RDH Alternative Practice

Primary Status: Delinquent

Qualification: Interim Therapeutic Restoration

Address not disclosed

Issuance Date

July 18, 2014

Expiration Date

August 31, 2020

Current Date / Time

June 7, 2025
3:58:24 AM

License Relationships

Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Registered Dental Hygienist Alternative Practice

Related Party Role: Dentist

Name: AWAD, PAUL YOUSSEF

License/Registration Type: Dentist License

License Number: 60197 Primary Status: Current - Active

Address :
2071 RANCHO VALLEY DR. STE 140
POMONA CA 91766
LOS ANGELES COUNTY

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