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Licensing details for: 1815

Name: KIM, JOHN YOUNGSOO

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Previous Names: KIM, JOHN Y Kim, John

Address of Record

1308 E Colorado Blvd
2317
PASADENA CA 91106-1932
LOS ANGELES county
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Issuance Date

August 1, 2016

Expiration Date

July 31, 2027

Current Date / Time

June 6, 2025
2:7:22 PM

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: KIM, JOHN YOUNGSOO

License/Registration Type: Oral Maxillofacial Surgery Permit

License Number: 110 Primary Status: Current - Active

Address :
1308 E Colorado Blvd
2317
PASADENA CA 91106-1932
LOS ANGELES COUNTY

Map

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