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Licensing details for: 60469

Name: SHEARER, KEVIN P

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

701 PINE STREET
MT SHASTA CA 96067
SISKIYOU county
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Issuance Date

June 29, 2011

Expiration Date

June 30, 2027

Current Date / Time

June 6, 2025
3:14:56 PM

License Relationships

Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Dentist

Related Party Role: Registered Dental Hygienist Alternative Practice

Name: MCCRACKEN, CANDACE LYNN

License/Registration Type: Registered Dental Hygienist Alternative Practice

License Number: 661 Primary Status: Current - Active

Address Not Disclosed

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