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Licensing details for: 113

Name: KIM, JAMES YONG

License Type: Oral Maxillofacial Surgery

Primary Status: Cancelled

Address of Record

930 MILMADA DR
LA CANADA FLINTRIDGE CA 91011-2522
LOS ANGELES county
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Issuance Date

September 6, 2017

Expiration Date

January 31, 2023

Current Date / Time

June 6, 2025
11:50:54 PM

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, JAMES YONG

License/Registration Type: General Anesthesia Permit

License Number: 1874 Primary Status: Cancelled

Address :
17003 Bear Valley Rd, D
HESPERIA CA 92345

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