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Licensing details for: 2871

Name: DUELL, ELIZABETH M

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

4635 PIPER DR
SAN JOSE CA 95129
SANTA CLARA county
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Issuance Date

December 27, 2012

Expiration Date

September 30, 2015

Current Date / Time

June 6, 2025
10:10:29 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: DUELL, ELIZABETH M

License/Registration Type: Dentist License

License Number: 59903 Primary Status: Current - Active

Address :
2204 grant road
ste 102
MOUNTAIN VIEW CA 94040
SANTA CLARA COUNTY

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