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Licensing details for: 60610

Name: LEE, SHAUN MICHAEL

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1430 EAST AVE #5
CHICO CA 95926
BUTTE county
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Practice Location

1430 East Ave
#5
CHICO CA 95926-1628
BUTTE county
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Issuance Date

July 21, 2011

Expiration Date

May 31, 2026

Current Date / Time

December 13, 2025
7:55:35 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: LEE, SHAUN MICHAEL

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3157 Primary Status: Cancelled

Address :
3601 CAMPUS BLVD NE
ALBUQUERQUE NM 87106
BERNALILLO COUNTY

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