
Dental Board of California
Licensing details for: 342
Name: HAKANSON, MARK RANDALL
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Previous Names: HAKANSON, MARK
Address of Record
638 W DUARTE RD #9
ARCADIA CA 91007
LOS ANGELES 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: HAKANSON, MARK RANDALL
License/Registration Type: Dentist License
License Number: 26860 Primary Status: Revoked
Address :
PO Box 413
RUNNING SPRINGS CA 92382-0413
SAN BERNARDINO COUNTY