
Dental Board of California
Licensing details for: 3061
Name: LIEM, SUSAN MARIE
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
1259 Pleasant Grove Blvd
Ste 100
ROSEVILLE CA 95747
SACRAMENTO county
Map
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: LIEM, SUSAN MARIE
License/Registration Type: Dentist License
License Number: 60545 Primary Status: Current - Active
Address :
995 Tharp Rd
Ste B
YUBA CITY CA 95993