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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
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Issuance Date

December 10, 2013

Expiration Date

December 31, 2024

Current Date / Time

June 6, 2025
10:8:47 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: 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

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