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Licensing details for: 3811

Name: MEKEL, ELITE JAUFFRET

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: MEKEL, ELITE

Address of Record

6596 OAK SPRINGS DRIVE
OAK PARK CA 91377
VENTURA county
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Issuance Date

October 10, 2018

Expiration Date

June 30, 2020

Current Date / Time

June 6, 2025
10:14:15 AM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PACIFIC COAST PEDIATRIC DENTISTRY DENTAL OFFICE OF DR. ELITE MEKEL

License/Registration Type: Fictitious Name Permit

License Number: 18208 Primary Status: Current - Active

Address :
234 SOUTH PACIFIC COAST HIGHWAY #206
REDONDO BEACH CA 90277-3383
LOS ANGELES COUNTY

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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: MEKEL, ELITE JAUFFRET

License/Registration Type: Dentist License

License Number: 102303 Primary Status: Current - Active

Address :
234 S Pacific Coast Hwy
206
REDONDO BEACH CA 90277-3383
LOS ANGELES COUNTY

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