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Licensing details for: 1882

Name: MOREHEAD, BONNIE JAY

License Type: Oral Conscious Sedation

Primary Status: Current - Active

Specialty: Adult

Previous Names: MOREHEAD, BONNIE

Address of Record

1507 WEST YOSEMITE AVENUE
MANTECA CA 95337
SAN JOAQUIN county
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Issuance Date

April 9, 2009

Expiration Date

May 31, 2026

Current Date / Time

December 17, 2025
7:27:27 PM

License Relationships

OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

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

Name: MOREHEAD, BONNIE JAY

License/Registration Type: Dentist License

License Number: 28362 Primary Status: Current - Active

Address :
1507 WEST YOSEMITE
MANTECA CA 95337
SAN JOAQUIN COUNTY

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