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Licensing details for: 3543

Name: RAPPAHAHN, JACQUELINE NGUYEN

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Secondary Status: Cancelled at the Request of the LicenseePrimary Status Definition

Previous Names: NGUYEN, JACQUELINE

Address of Record

18883 BELLGROVE CIRCLE
SARATOGA CA 95070
SANTA CLARA county
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Issuance Date

September 30, 2016

Expiration Date

August 31, 2019

Current Date / Time

June 6, 2025
10:4:37 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: RAPPAHAHN, JACQUELINE NGUYEN

License/Registration Type: Dentist License

License Number: 63414 Primary Status: Current - Active

Address :
1045 Los Palos Dr
SALINAS CA 93901-3916
MONTEREY COUNTY

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