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Licensing details for: 59780

Name: YU, JERRY ACK

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by Residency

Secondary Status: Licensure by Residency

Previous Names: YU, JENNY ACK

Address of Record

805 Aerovista Pl
Suite 106
SAN LUIS OBISPO CA 93401-7919
SAN LUIS OBISPO county
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Practice Location

805 Aerovista Pl
Suite 106
SAN LUIS OBISPO CA 93401-7919
SAN LUIS OBISPO county
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Issuance Date

September 2, 2010

Expiration Date

April 30, 2028

Current Date / Time

June 3, 2026
10:18:51 AM

License Relationships

MS 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: Moderate Sedation Permit

Name: YU, JERRY ACK

License/Registration Type: Moderate Sedation Permit

License Number: 24 Primary Status: Current - Active

Address :
Aerovista Pl
Ste 106
SAN LUIS OBISPO CA 93401-7921
SAN LUIS OBISPO COUNTY

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