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Licensing details for: 4432

Name: THOMAS A IVERSON, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: IVERSON THOMAS ALLEN

Address of Record

265 N VILLA AVENUE
WILLOWS CA 95988
GLENN county
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Issuance Date

March 18, 1988

Expiration Date

March 31, 2012

Current Date / Time

December 17, 2025
7:25:45 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

Name: IVERSON, THOMAS ALLEN

License/Registration Type: Dentist License

License Number: 33473 Primary Status: Current - Active

Address :
2 Main St
WOODLAND CA 95695-3124
YOLO COUNTY

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