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Licensing details for: 106692

Name: HAN, JONATHAN

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1055 Armorlite Dr
Apt 323
SAN MARCOS CA 92069-1767
SAN DIEGO county
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Issuance Date

July 22, 2021

Expiration Date

June 30, 2026

Current Date / Time

June 7, 2025
8:1:1 AM

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: HAN, JONATHAN

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 4366 Primary Status: Expired

Address :
26810 Ynez Ct
Ste E
TEMECULA CA 92591-5297

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