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Licensing details for: 1991

Name: MCDONOUGH, SHAELAN DAVID

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Adult

Address of Record

593 N MOORPARK RD
STE B
THOUSAND OAKS CA 91360
VENTURA county
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Issuance Date

August 28, 2009

Expiration Date

May 31, 2013

Current Date / Time

October 31, 2025
9:14:40 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: MCDONOUGH, SHAELAN DAVID

License/Registration Type: Dentist License

License Number: 56210 Primary Status: Current - Active

Address :
12013 Wilshire Blvd
LOS ANGELES CA 90025-1201
LOS ANGELES COUNTY

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