Dental Board of California
Licensing details for: 52944
Name: TILLNER, JOHN E JR
License Type: Dentist
Primary Status: Current - Active
Previous Names: TILLNER, JOHN EMERY JR ❖ TILLNER_JR, JOHN E
Address of Record
769 MEDICAL CENTER CT #200
CHULA VISTA CA 91911
SAN DIEGO county
Map
License Relationships
FCS to DDS
License/Registration Role: Must hold an active Dental License
Related Party Role: Elective Facial Cosmetic Surgery Permit
Name: TILLNER, JOHN E JR
License/Registration Type: Elective Facial Cosmetic Surgery Permit
License Number: 32 Primary Status: Current - Active
Address :
769 Medical Center Ct
#200
CHULA VISTA CA 91911-6602
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: CHULA VISTA ORAL AND MAXILLOFACIAL SURGERY CENTER, DENTAL PRACTIC
License/Registration Type: Fictitious Name Permit
License Number: 9179 Primary Status: Cancelled
Address :
752 MEDICAL CENTER COURT
STE. 205
CHULA VISTA CA 91911
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: CHULA VISTA ORAL & MAXILLOFACIAL SURGERY CENTER, DENTAL OFFICE OF
License/Registration Type: Fictitious Name Permit
License Number: 11802 Primary Status: Current - Active
Address :
769 MEDICAL CEWNTER COURT
#200
CHULA VISTA CA 91911
SAN DIEGO COUNTY
GA to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: General Anesthesia Permit
Name: TILLNER, JOHN E JR
License/Registration Type: General Anesthesia Permit
License Number: 1512 Primary Status: Current - Active
Address :
769 MEDICAL CENTER COURT #200
CHULA VISTA CA 91911
SAN DIEGO COUNTY
