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Licensing details for: 16

Name: GRECCO, MARK ADRIAN

License Type: Elective Facial Cosmetic Surgery

Primary Status: Current - Active

Qualification: Dermal Fillers BotoxPrimary Status Definition

Previous Names: GRECCO, MARK A

Address of Record

1511 W Yosemite Ave
MANTECA CA 95337-5159
SAN JOAQUIN county
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Active Status Location

1511 W Yosemite Ave
MANTECA CA 95337-5159
SAN JOAQUIN county
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Issuance Date

July 27, 2009

Expiration Date

June 30, 2026

Current Date / Time

June 7, 2025
4:1:45 AM

License Relationships

FCS to DDS

License/Registration Role: Elective Facial Cosmetic Surgery Permit

Related Party Role: Must hold an active Dental License

Name: GRECCO, MARK ADRIAN

License/Registration Type: Dentist License

License Number: 34614 Primary Status: Current - Active

Address :
1511 WEST YOSEMITE
MANTECA CA 95337
SAN JOAQUIN COUNTY

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