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Licensing details for: 24

Name: YU, JERRY ACK

License Type: Moderate Sedation Permit

Primary Status: Current - Active

Previous Names: YU, JENNY ACK

Address of Record

Aerovista Pl
Ste 106
SAN LUIS OBISPO CA 93401-7921
SAN LUIS OBISPO county
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Practice Location

Aerovista Pl
Ste 106
SAN LUIS OBISPO CA 93401-7921
SAN LUIS OBISPO county
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Barcellus Ave
Ste 101 AND 102
SANTA MARIA CA 93454
SANTA BARBARA county
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Issuance Date

October 6, 2022

Expiration Date

April 30, 2028

Current Date / Time

June 3, 2026
9:45:42 AM

License Relationships

MS to DDS or OMS or SP

License/Registration Role: Moderate Sedation Permit

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

Name: YU, JERRY ACK

License/Registration Type: Dentist License

License Number: 59780 Primary Status: Current - Active

Address :
805 Aerovista Pl
Suite 106
SAN LUIS OBISPO CA 93401-7919
SAN LUIS OBISPO COUNTY

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