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Licensing details for: 3157

Name: LEE, SHAUN MICHAEL

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Adult

Address of Record

3601 CAMPUS BLVD NE
ALBUQUERQUE NM 87106
BERNALILLO county
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Issuance Date

April 10, 2014

Expiration Date

May 31, 2016

Current Date / Time

June 6, 2025
2:26:42 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: LEE, SHAUN MICHAEL

License/Registration Type: Dentist License

License Number: 60610 Primary Status: Current - Active

Address :
1430 East Ave
#5
CHICO CA 95926-1628
BUTTE COUNTY

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