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Licensing details for: 132

Name: JENSEN, MARVIN F

License Type: Dentist General Anesthesia

Primary Status: Cancelled

Address of Record

716 SO GARFIELD AVE
ALHAMBRA CA 91801
LOS ANGELES county
Map

Issuance Date

December 24, 1980

Expiration Date

January 31, 1992

Current Date / Time

June 7, 2025
10:36:44 AM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: JENSEN, MARVIN FLETCHER

License/Registration Type: Dentist License

License Number: 24308 Primary Status: Expired

Address Not Disclosed

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