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Licensing details for: 41

Name: MAKAN, SIRISH

License Type: Elective Facial Cosmetic Surgery

Primary Status: Current - Active

Expert Credentials: Category I Unlimited - OsteocartilaginousPrimary Status Definition

Qualification: Category II Unlimited - Soft TissuePrimary Status Definition

Previous Names: MAKAN, SIRISH RAJENDRA

Address of Record

18372 CLARK ST STE 224
TARZANA CA 91356-3508
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Active Status Location

18372 Clark St
St 224
TARZANA CA 91356-3508
LOS ANGELES county
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Practice Location

10601 Paramount Blvd
DOWNEY CA 90241-3303
LOS ANGELES county
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18372 Clark St
Ste 224
TARZANA CA 91356-3508
LOS ANGELES county
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Issuance Date

August 15, 2024

Expiration Date

June 30, 2027

Current Date / Time

December 16, 2025
9:46:47 PM

License Relationships

FCS to DDS

License/Registration Role: Elective Facial Cosmetic Surgery Permit

Related Party Role: Must hold an active Dental License

Name: MAKAN, SIRISH

License/Registration Type: Dentist License

License Number: 65305 Primary Status: Current - Active

Address :
10601 Paramount Blvd
DOWNEY CA 90241-3303
LOS ANGELES COUNTY

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