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Licensing details for: 110

Name: KIM, JOHN YOUNGSOO

License Type: Oral Maxillofacial Surgery

Primary Status: Current - Active

Previous Names: KIM, JOHN Y Kim, John

Address of Record

1308 E Colorado Blvd
2317
PASADENA CA 91106-1932
LOS ANGELES county
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Issuance Date

August 1, 2016

Expiration Date

July 31, 2027

Current Date / Time

June 7, 2025
3:28:23 AM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: General Anesthesia Permit

Name: KIM, JOHN YOUNGSOO

License/Registration Type: General Anesthesia Permit

License Number: 1815 Primary Status: Current - Active

Address :
1308 E Colorado Blvd
2317
PASADENA CA 91106-1932
LOS ANGELES COUNTY

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