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Licensing details for: 2807

Name: SANDERSON, VANESSA ANDRADE

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: SAN DERSON, VANESSA ANDRADE

Address of Record

2014 W Ave K
LANCASTER CA 93536-5229
LOS ANGELES county
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Issuance Date

September 4, 2012

Expiration Date

April 30, 2023

Current Date / Time

October 27, 2026
9:27:19 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: SANDERSON, VANESSA ANDRADE

License/Registration Type: Dentist License

License Number: 56596 Primary Status: Current - Active

Address :
2014 W Avenue K
LANCASTER CA 93536-5229

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