Dental Board of California
Licensing details for: 26860
Name: HAKANSON, MARK RANDALL
License Type: Dentist
Primary Status: Revoked
Secondary Status: Revoked, Stayed, Probation ❖ Reduced Renewal Fee ❖ Probationary License
Previous Names: HAKANSON, MARK
Address of Record
PO Box 413
RUNNING SPRINGS CA 92382-0413
SAN BERNARDINO county
Map
Disciplinary Actions
Start: August 10, 2020
Action: Revocation
Start: October 4, 2004
Action: Revocation
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: HAKANSON, MARK RANDALL
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 342 Primary Status: Cancelled
Address :
638 W DUARTE RD #9
ARCADIA CA 91007
LOS ANGELES COUNTY
