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Licensing details for: 3587

Name: MAK, KAREN CHUNG NING

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

5403 N Delta St
SAN GABRIEL CA 91776-1918
LOS ANGELES county
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Practice Location

24635 Madison Ave Ste E
MURRIETA CA 92562-7556
RIVERSIDE county
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Issuance Date

February 24, 2017

Expiration Date

December 31, 2023

Current Date / Time

June 6, 2025
3:32:21 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: MAK, KAREN CHUNG NING

License/Registration Type: Dentist License

License Number: 101022 Primary Status: Current - Active

Address :
2250 S Archibald Ave
C
ONTARIO CA 91761-8575
SAN BERNARDINO COUNTY

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