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Licensing details for: 62948

Name: PEPPER, SHANDRA SUKTALORDCHEEP

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: SUKTALORDCHEEP, SHANDRA

Address of Record

19255 Golden Valley Rd
SANTA CLARITA CA 91387-1472
LOS ANGELES county
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Practice Location

39178 10th St W
Suite C
PALMDALE CA 93551-3767
LOS ANGELES county
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Issuance Date

September 9, 2013

Expiration Date

August 31, 2027

Current Date / Time

June 6, 2025
11:12:18 PM

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: PEPPER, SHANDRA SUKTALORDCHEEP

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3042 Primary Status: Cancelled

Address :
19255 Golden Valley Rd
SANTA CLARITA CA 91387-1472

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