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Licensing details for: 1563

Name: POOTRAKUL, ALI

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

P.O. BOX 27906
LOS ANGELES CA 90027
LOS ANGELES county
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Issuance Date

March 25, 2011

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
2:23:18 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: POOTRAKUL, ALI

License/Registration Type: Dentist License

License Number: 60258 Primary Status: Current - Active

Address :
PO BOX 27906
LOS ANGELES CA 90027
LOS ANGELES COUNTY

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