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Licensing details for: 741

Name: ALVAREZ, ALAN M

License Type: Conscious Sedation

Primary Status: Cancelled

Secondary Status: Revoked, Stayed, Probation

Previous Names: ALVAREZ, ALAN MICHAEL

Address of Record

1155 N. CAPITOL AVE.
STE. 160
SAN JOSE CA 95132
SANTA CLARA county
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Issuance Date

June 30, 2011

Expiration Date

April 6, 2021

Current Date / Time

April 4, 2026
3:25:54 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: ALVAREZ, ALAN M

License/Registration Type: Dentist License

License Number: 43677 Primary Status: Current - Active

Address :
1155 N CAPITOL AVE #160
SAN JOSE CA 95132
SANTA CLARA COUNTY

Map

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