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Licensing details for: 905

Name: MACHADO, LESTER

License Type: Dentist General Anesthesia

Primary Status: Cancelled

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Address of Record

501 WASHINGTON ST
STE 710
SAN DIEGO CA 92103
SAN DIEGO county
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Issuance Date

July 2, 1990

Expiration Date

July 31, 2023

Current Date / Time

June 7, 2025
10:45:18 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: MACHADO, LESTER

License/Registration Type: Dentist License

License Number: 29080 Primary Status: Expired

Address :
501 WASHINGTON AVE
STE 710
SAN DIEGO CA 92103
SAN DIEGO COUNTY

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