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Licensing details for: 23236

Name: REDD, JERRY STANLEY

License Type: Dentist

Primary Status: Cancelled

Secondary Status: Reduced Renewal Fee

Address of Record

1620 VALLE VISTA AVE, STE 200
VALLEJO CA 94589
SOLANO county
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Issuance Date

January 1, 1973

Expiration Date

January 31, 2018

Current Date / Time

June 6, 2025
8:3:20 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: REDD JERRY S DDS INC

License/Registration Type: Additional Office Permit

License Number: 3335 Primary Status: Cancelled

Address :
1075 FIRST STREET STE 4
BENICIA CA 94510
SOLANO COUNTY

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