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Licensing details for: 2056

Name: SONG, HANNAH JI YOUNG

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: SONG, HANNAH JIYOUNG LIM, HANNAH JI-YOUNG

Address of Record

5661 BEACH BLVD
STE 100
BUENA PARK CA 90621
ORANGE county
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Issuance Date

November 12, 2009

Expiration Date

February 28, 2023

Current Date / Time

December 13, 2025
1:54:6 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: SONG, HANNAH JI YOUNG

License/Registration Type: Dentist License

License Number: 58464 Primary Status: Current - Active

Address :
7851 Commonwealth Ave
BUENA PARK CA 90621-2422
ORANGE COUNTY

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