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Licensing details for: 9152

Name: LEENA JACOB, DDS, A PROFESSIONAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: LEENA JACOB DDS A PROFESSIONAL CORPORATION

Address of Record

10900 LONG BEACH BLVD.
LYNWOOD CA 90262
LOS ANGELES county
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Issuance Date

August 22, 2006

Expiration Date

June 30, 2007

Current Date / Time

June 6, 2025
10:20:0 AM

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: JACOB, LEENA MARY

License/Registration Type: Dentist License

License Number: 44488 Primary Status: Current - Active

Address :
1357 E Florence Ave
LOS ANGELES CA 90001-1934
LOS ANGELES COUNTY

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