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Licensing details for: 491

Name: STAADECKER, COURY

License Type: Conscious Sedation

Primary Status: Cancelled

Previous Names: STAADECKER, COURTNEY LYNN STAADECKER, COURY LYNN STAADECKER, COURTNEY

Address of Record

2842 FARRAGUT RD #131
SAN DIEGO CA 92106
SAN DIEGO county
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Issuance Date

November 16, 2005

Expiration Date

June 30, 2008

Current Date / Time

June 6, 2025
1:51:52 AM

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: STAADECKER, COURY

License/Registration Type: Dentist License

License Number: 48025 Primary Status: Current - Active

Address :
14415 Walnut Dr.
IRVINE CA 92604
ORANGE COUNTY

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