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Licensing details for: 761

Name: YOUNG, KIMMER EUGENE

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

2401 W CLEVELAND AVE
MADERA CA 93637
MADERA county
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Issuance Date

December 28, 2004

Expiration Date

October 31, 2007

Current Date / Time

December 13, 2025
11:26:18 AM

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: YOUNG, KIMMER EUGENE

License/Registration Type: Dentist License

License Number: 45065 Primary Status: Current - Active

Address :
2401 W. CLEVELAND AVE
MADERA CA 93637
MADERA COUNTY

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