
Dental Board of California
Licensing details for: 60545
Name: LIEM, SUSAN MARIE
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
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: LIEM, SUSAN MARIE
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 3061 Primary Status: Cancelled
Address :
1259 Pleasant Grove Blvd
Ste 100
ROSEVILLE CA 95747
SACRAMENTO COUNTY