Dental Board of California

Licensing details for: 648

Name: LEE, REBECCA CAROLINA

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: LEE, REBECCA C ❖ LEE PAIR, REBECCA CAROLINA

Address of Record

11200 CORBIN #108
NORTHRIDGE CA 91326
LOS ANGELES county
Map

Issuance Date

December 30, 2003

Expiration Date

March 31, 2023

Current Date / Time

June 6, 2025
10:24:32 AM

License/Registration Role: Oral Conscious Sedation Certificate

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: LEE, REBECCA CAROLINA

License/Registration Type: Dentist License

License Number: 46197 Primary Status: Current - Active

Address :
11200 Corbin Ave
Ste 108
11200 Corbin Ave
PORTER RANCH CA 91326-4250