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Licensing details for: 9234

Name: KIRK E. TINER, A PROFESSIONAL DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Corporation

Previous Names: KIRK E TINER

Address of Record

10715 TIERRASANTA BLVD.
STE. A
SAN DIEGO CA 92124
SAN DIEGO county
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Issuance Date

October 31, 2006

Expiration Date

May 31, 2008

Current Date / Time

December 14, 2025
8:17:23 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: TINER, KIRK ELLIOTT

License/Registration Type: Dentist License

License Number: 38376 Primary Status: Cancelled

Address :
3381 W MAIN ST #3
ST CHARLES IL 60175
KANE COUNTY

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