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Licensing details for: 14621

Name: SHAHANI, DENA

License Type: Statement of Licensure

Primary Status: Delinquent Primary Status Definition

Address of Record

600 Ash St
SUSANVILLE CA 96130-3714
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Issuance Date

March 9, 2023

Expiration Date

March 31, 2025

Current Date / Time

November 6, 2025
9:12:51 AM

License Relationships

Statement of Licensure to Optometrist

License/Registration Role: Statement of Licensure

Related Party Role: Optometrist

Name: SHAHANI, DENA

License/Registration Type: Optometrist

License Number: 14956 Primary Status: Current

Address :
3030 Plaza Bonita Rd
Suite 1485
NATIONAL CITY CA 91950-8009
SAN DIEGO COUNTY

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