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Licensing details for: 461

Name: BURNETT, CHRISTIE RACHELLE

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

8540 SOUTH SEPULVEDA BL #710
LOS ANGELES CA 90045
LOS ANGELES county
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Issuance Date

October 23, 2001

Expiration Date

November 30, 2023

Current Date / Time

June 6, 2025
8:41:46 PM

License Relationships

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: WESTCHESTER PEDIATRIC DENTISTRY, DENTAL OFFICE OF DEEPA SREENIVAS

License/Registration Type: Fictitious Name Permit

License Number: 7242 Primary Status: Current - Active

Address :
8540 S. SEPULVEDA
STE. 710
LOS ANGELES CA 90045
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: BURNETT, CHRISTIE RACHELLE

License/Registration Type: Dentist License

License Number: 47352 Primary Status: Current - Active

Address :
8540 S SEPULVEDA BLVD
STE 710
LOS ANGELES CA 90045
LOS ANGELES COUNTY

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