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Licensing details for: 52

Name: JACKS, SCOTT THOMAS

License Type: Oral Conscious Sedation

Primary Status: Deceased

Specialty: Minor

Previous Names: JACKS, SCOTT

Address of Record

4444 TWEEDY BLVD
SOUTH GATE CA 90280
LOS ANGELES county
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Issuance Date

November 13, 2000

Expiration Date

August 31, 2015

Current Date / Time

December 16, 2025
12:26:56 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: JACKS, SCOTT THOMAS

License/Registration Type: Dentist License

License Number: 24464 Primary Status: Deceased

Address :
28 CENTERPOINTE DR
LA PALMA CA 90623
ORANGE COUNTY

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