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Licensing details for: 102406

Name: SHIM, JAE HEE

License Type: Dentist

Primary Status: Expired Primary Status Definition

Method of Application: Licensure by Credential

Address of Record

4201 JEWETTA AVE #L4
BAKERSFIELD CA 93312
KERN county
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Issuance Date

May 3, 2018

Expiration Date

April 30, 2021

Current Date / Time

June 6, 2025
2:40:42 PM

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: SHIM, JAE HEE

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3884 Primary Status: Cancelled

Address :
4201 JEWETTA AVENUE #L4
BAKERSFIELD CA 93312
KERN COUNTY

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