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Licensing details for: 50990

Name: SREENIVASAN, DEEPA SUSEEL

License Type: Dentist

Primary Status: Current - Active

Address of Record

8540 S. SEPULVEDA
SUITE 710
LOS ANGELES CA 90045
LOS ANGELES county
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Issuance Date

June 3, 2003

Expiration Date

February 28, 2026

Current Date / Time

June 7, 2025
11:13:42 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: SREENIVASAN, DEEPA SUSEEL

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 618 Primary Status: Cancelled

Address :
8540 S SEPULVEDA SUITE 710
LOS ANGELES CA 90045
LOS ANGELES COUNTY

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