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Licensing details for: 60545

Name: LIEM, SUSAN MARIE

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

4118 Dardanelles St
SACRAMENTO CA 95834-7610
SACRAMENTO county
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Practice Location

995 Tharp Rd
Ste B
YUBA CITY CA 95993
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Issuance Date

July 19, 2011

Expiration Date

December 31, 2026

Current Date / Time

June 7, 2025
8:23:16 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: 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

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