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Licensing details for: 3042

Name: PEPPER, SHANDRA SUKTALORDCHEEP

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: SUKTALORDCHEEP, SHANDRA

Address of Record

19255 Golden Valley Rd
SANTA CLARITA CA 91387
LOS ANGELES county
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Practice Location

19255 Golden Valley Rd
SANTA CLARITA CA 91387-1472
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Issuance Date

December 4, 2013

Expiration Date

August 31, 2023

Current Date / Time

June 6, 2025
2:21:59 AM

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: PEPPER, SHANDRA SUKTALORDCHEEP

License/Registration Type: Dentist License

License Number: 62948 Primary Status: Current - Active

Address :
39178 10th St W
Suite C
PALMDALE CA 93551-3767
LOS ANGELES COUNTY

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