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Licensing details for: 679

Name: CONOVER, MARK A

License Type: Dentist General Anesthesia

Primary Status: Expired Primary Status Definition

Previous Names: CONOVER, MARK ALAN

Address of Record

44100 Jefferson St Ste 506
INDIO CA 92201-9014
RIVERSIDE county
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Issuance Date

August 1, 1983

Expiration Date

June 30, 2023

Current Date / Time

June 6, 2025
3:40:7 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: CONOVER, MARK A

License/Registration Type: Dentist License

License Number: 28914 Primary Status: Current - Active

Address :
30975 E Sunset Dr S
REDLANDS CA 92373-7449
SAN BERNARDINO COUNTY

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