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Licensing details for: 1297

Name: ELSHERIF, ISMAIL IBRAHIM

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

4550 N LARK ELLEN AVE
Suite #104
COVINA CA 91722
LOS ANGELES county
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Issuance Date

August 24, 2021

Expiration Date

May 31, 2024

Current Date / Time

December 13, 2025
5:18:9 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: ELSHERIF, ISMAIL IBRAHIM

License/Registration Type: Dentist License

License Number: 47883 Primary Status: Current - Active

Address :
4550 LARK ELLEN AVE
#104
COVINA CA 91722
LOS ANGELES COUNTY

Map

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