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Licensing details for: 260

Name: TONN, ELVERNE M

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

2420 BELLCHASE DRIVE
MANTECA CA 95336
SAN JOAQUIN county
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Issuance Date

December 27, 2000

Expiration Date

December 31, 2005

Current Date / Time

December 13, 2025
5:39:54 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: TONN, ELVERNE M

License/Registration Type: Dentist License

License Number: 13281 Primary Status: Cancelled

Address :
1361 S. Lower Sacramento Rd.
Suite #601
LODI CA 95242
SAN JOAQUIN COUNTY

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