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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
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Issuance Date

January 24, 2001

Expiration Date

March 31, 2004

Current Date / Time

May 30, 2025
3:56:13 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: 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

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