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Licensing details for: 27457

Name: MC KIBBEN, WILLIAM JAMES

License Type: Dentist

Primary Status: Expired Primary Status Definition

Address of Record

310 Basalt Ln
ELLENSBURG WA 98926-6100
KITTITAS county
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Issuance Date

July 27, 1978

Expiration Date

December 31, 2021

Current Date / Time

June 7, 2025
1:33:38 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: WILLIAM J. MC KIBBEN, DDS

License/Registration Type: Additional Office Permit

License Number: 7478 Primary Status: Cancelled

Address :
295 REDONDO AVENUE #102
LONG BEACH CA 90803
LOS ANGELES COUNTY

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