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Licensing details for: A 203284

Name: Makela, Tory Ann

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: University of South Dakota Sanford School of Medicine

Graduation Year: 2023

Address of Record

4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE county
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Issuance Date

June 6, 2025

Expiration Date

August 31, 2027

Current Date / Time

April 2, 2026
9:54:25 AM

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License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Physician & Surgeon

Related Party Role: Postgraduate Training License

Name: Makela, Tory Ann

License/Registration Type: Postgraduate Training License

License Number: 13958 Primary Status: License Canceled

Address :
4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE COUNTY

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Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

No AB 133 Survey Information Provided by Licensee

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