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Licensing details for: 79711

Name: IVERSON-VOTA A DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

871 GRAY AVE
YUBA CITY CA 95991
SUTTER county
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Practice Location

871 GRAY AVE
YUBA CITY CA 95991
SUTTER county
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Issuance Date

June 19, 2018

Expiration Date

March 31, 2020

Current Date / Time

December 17, 2025
7:27:24 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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