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Licensing details for: 49966

Name: PAK, MARK JUNGWON

License Type: Dentist

Primary Status: Current - Active

Secondary Status: Probationary License

Probation Summary: Description: Mark Pak (Respondent) entered into a 5-year probationary term imposed pursuant to an adjudicated decision, effective July 5, 2023. This probationary term is anticipated to end July 4, 2028.
Below are the causes for probation:
• Repeated Acts of Negligence
• Administration of Oral Conscious Sedation Without Permit
• Unprofessional Conduct
Restrictions of Practice: Below of the terms of the Disciplinary Order, terms 1-15 are considered standard:
1. Obey All Laws
2. Quarterly Reports
3. Comply with the Board’s Probation Program
4. Address Change, Name Change, License Status
5. Meetings and Interviews
6. Status of Residency, Practice, or Licensure Outside of State
7. Submit Documentation
8. Cost Recovery- $10,107.50
9. Probation Monitoring Costs
10. License Surrender
11. Function as a Licensee
12. Continuance of Probationary Term/Completion of Probation
13. Sale or Closure of an office and/or Practice
14. Notification
15. Remedial Education (Patient evaluation and administration of adult oral conscious sedation and anesthetic emergencies)
16. Supervised Practice
17. Community Service
18. Ethics Course

Address of Record

4148 Ocean View Blvd
MONTROSE CA 91020-1552
LOS ANGELES county
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Practice Location

4148 Ocean View Blvd
MONTROSE CA 91020-1552
LOS ANGELES county
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Issuance Date

August 13, 2002

Expiration Date

February 28, 2027

Current Date / Time

June 7, 2025
8:21:56 AM

Disciplinary Actions

Start: July 5, 2023

End: July 4, 2028

Action: Revoked, Stayed, Probation

Public Record Documents

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: PAK, MARK JUNGWON

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 4204 Primary Status: Current - Active

Address :
4148 Ocean View Blvd
MONTROSE CA 91020-1552
LOS ANGELES COUNTY

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