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Licensing details for: 125

Name: MACKENZIE, GEORGE DAVID

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

20265 LAKE CHABOT ROAD
CASTRO VALLEY CA 94546
ALAMEDA county
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Issuance Date

January 1, 1992

Expiration Date

March 31, 2019

Current Date / Time

December 13, 2025
4:48:34 PM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Conscious Sedation Permit

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

Name: MACKENZIE, GEORGE DAVID

License/Registration Type: Dentist License

License Number: 30605 Primary Status: Expired

Address :
3215 Gold Ct
LAFAYETTE CA 94549-5405
CONTRA COSTA COUNTY

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