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Licensing details for: 4366

Name: HAN, JONATHAN

License Type: Oral Conscious Sedation

Primary Status: Expired Primary Status Definition

Specialty: Adult

Address of Record

26810 Ynez Ct
Ste E
TEMECULA CA 92591-5297
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Issuance Date

July 14, 2023

Expiration Date

June 30, 2024

Current Date / Time

June 6, 2025
10:14:31 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: HAN, JONATHAN

License/Registration Type: Dentist License

License Number: 106692 Primary Status: Current - Active

Address :
1055 Armorlite Dr
Apt 323
SAN MARCOS CA 92069-1767
SAN DIEGO COUNTY

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