First Name M Initial Last Name Suffix Title Lic No ...

First Name Rizalyne Travis Arash Tazeen Mykel Payden Nathan Ryan Jake Kayla Dianne David Douglas Keith Carmen Curtis Preston Matthew Nicole James Brandon Jung Wook David Stefanie Francesca Graydon John Ning Lauren Christina Hyunseok Robert Kristin

M Initial M B

S R B M K H L L S Y E M J M K Y R G

L J S

E

Z

C T E

Last Name Abdelnour Adams Aghakhani Ahmed Anderson Anderson Antoine Austin Banks Bateman Etman Benedictson Bogenschutz Bowen Boyd Brawley Brimley Browne Bruner Bui Burk Burke Byun Cameron Camm Cardinale Carr-Ramos Cercek Chang Chao Chen Chi Chin Chino

Suffix Title

Lic No Specialty

Lic Date

Status

DMD

6944

June 9, 2017 Active

DDS

7022

February 2, 2018 Active

DDS

S6-158C Pediatric Dentist

December 22, 2017 Active

DMD

6912

June 16, 2017 Active

DMD MPH 6978

September 22, 2017 Active

DMD

6952

June 16, 2017 Active

DMD

6915

June 9, 2017 Active

DDS

S2-152C Oral & Maxillofacial Surgeon October 2, 2017 Active

DDS

6897

April 21, 2017 Active

DDS

S3-309 Orthodontist

July 14, 2017 Active

DDS

7003

December 15, 2017 Active

DDS MS S3-302C Orthodontist

May 26, 2017 Active

DMD

7007

December 8, 2017 Active

Jr DDS

7040

April 13, 2018 Active

DMD

6957

July 21, 2017 Active

DMD MS S7-96C Endodontist

June 16, 2017 Active

DDS

7055

April 27, 2018 Active

DDS

S3-313C Orthodontist

November 13, 2017 Active

DDS

7020

March 16, 2018 Active

DDS

LL-461-18

February 23, 2018 Active

DDS

S3-295C Orthodontist

June 16, 2017 Active

DDS

7014

February 9, 2018 Active

DMD

S3-299 Orthodontist

September 8, 2017 Active

DDS

4815

Active

DMD

S7-99 Endodontist

November 13, 2017 Active

DDS

LL-442-17

June 23, 2017 Active

DMD

S7-98 Endodontist

June 30, 2017 Active

DDS

7058

May 18, 2018 Active

DMD

6914

June 30, 2017 Inactive

DDS

LL-445-17

June 30, 2017 Active

DDS

6902

April 14, 2017 Active

DMD

7018

January 12, 2018 Active

DMD

7025

March 13, 2018 Active

Valid from

Valid to

Board Action

June 9, 2017 June 30, 2019

February 2, 2018 June 30, 2019

December 22, 2017 June 30, 2019

June 16, 2017 June 30, 2019

September 22, 2017 June 30, 2019

June 16, 2017 June 30, 2019

June 9, 2017 June 30, 2019

October 2, 2017 June 30, 2019

April 21, 2017 June 30, 2019

July 14, 2017 June 30, 2019

December 15, 2017 June 30, 2019

May 26, 2017 June 30, 2019

December 8, 2017 June 30, 2019

April 13, 2018 June 30, 2019

July 21, 2017 June 30, 2019

June 16, 2017 June 30, 2019

April 27, 2018 June 30, 2019

November 13, 2017 June 30, 2019

March 16, 2018 June 30, 2019

February 23, 2018 June 30, 2018

June 16, 2017 June 30, 2019

February 9, 2018 June 30, 2019

September 8, 2017 June 30, 2019

July 18, 2017 June 30, 2019

November 13, 2017 June 30, 2019

June 23, 2017 June 30, 2018

June 30, 2017 June 30, 2019

May 18, 2018 June 30, 2019

June 30, 2017 June 30, 2019

June 30, 2017 June 30, 2018

April 14, 2017 June 30, 2019

January 12, 2018 June 30, 2019

March 13, 2018 June 30, 2019

Alan

S

Richard E

Charles R

Paulo

F

Kevin

M

Minhquan D

Rachelle A

Evan

D

Daniel

N

Parvin

S

Deep Karan S

Mannimrat K

David

H

Ashley

D

Heather M

Davis

Robert

N

Evan

B

Mark

R

Luzanne F

Jessica

A

Michelle S

Audra

A

Justin

W

David

M

Leilani

D

Stephen G

Michael R

Christopher J

Howard J

Nora

N

Thomas H

Harry

Darren

M J

Cho Copithorne Cordova Cortes Croft Dao Davidowitz Davis Dela Cruz Dhaliwal Dhillon Dhillon Diehl Dinh Diulio Do Dunham Ellsworth Ence Ermita Etchell Farnoush Feldhaus Felkner Fellars Friesen Frugoli Galada Galea Garel Ghodousi Godfrey Golnazarian Goring

DMD DMD DDS DMD DDS DMD DDS DMD DMD DDS DDS DDS DMD DDS DMD DDS DMD DMD DDS DMD DMD DMD DDS DDS DDS DDS DMD DDS DDS DDS DDS DMD DDS DDS

6937

June 9, 2017 Active

6985

September 22, 2017 Active

6923

May 26, 2017 Inactive

7028

February 23, 2018 Active

6901

April 28, 2017 Active

7048

April 27, 2018 Active

6962

August 4, 2017 Active

6951

June 16, 2017 Active

6907

July 14, 2017 Inactive

6898

May 12, 2017 Active

S6-157 Pediatric Dentist

October 6, 2017 Active

6934

June 16, 2017 Active

6939

June 9, 2017 Active

7032

February 2, 2018 Active

6896

April 28, 2017 Active

6984

September 1, 2017 Inactive

6991

November 3, 2017 Active

7010

January 12, 2018 Active

6921

June 9, 2017 Active

6927

June 16, 2017 Active

6947

July 14, 2017 Active

6948

June 16, 2017 Active

LL-446-17

June 23, 2017 Active

LL-447-17

June 23, 2017 Active

6955

September 15, 2017 Active

6953

July 14, 2017 Active

6933

June 9, 2017 Active

6904

May 26, 2017 Active

S2-153C Oral & Maxillofacial Surgeon December 8, 2017 Active

S2-157C Oral & Maxillofacial Surgeon

April 13, 2018 Active

6916

May 19, 2017 Active

6936

May 26, 2017 Active

S2-151 Oral & Maxillofacial Surgeon

August 4, 2017 Active

S5-48 Prosthodontics

January 12, 2018 Active

June 9, 2017 September 22, 2017

May 26, 2017 February 23, 2018

April 28, 2017 April 27, 2018 August 4, 2017 June 16, 2017 July 14, 2017 May 12, 2017 October 6, 2017 June 16, 2017

June 9, 2017 February 2, 2018

April 28, 2017 September 1, 2017 November 3, 2017

January 12, 2018 June 9, 2017

June 16, 2017 July 14, 2017 June 16, 2017 June 23, 2017 June 23, 2017 September 15, 2017 July 14, 2017 June 9, 2017 May 26, 2017 December 8, 2017 April 13, 2018 May 19, 2017 May 26, 2017 August 4, 2017 January 12, 2018

June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2018 June 30, 2018 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019

Hans

P

Matthew R

Michael

Neal

S

Caitlin

E

Freidun

Justina

M

Thomas J

Daniel

J

Fred

L

Anthony

Sage

M

Tram

M

Victor

R

Chandler D

Darren

M

Scott

S

Debbie

Daniel

M

Chet

L

Soo

J

Guneet K

Vamsi

K

Donna

Iraj

H

Larry

J

Donghan

Jonathan E

Vladimir

Andrew J

Matthew L

Leslie

M

Michael T

Ryan

T

Gray Griffith Gu Gulati Gunn Hadi Hernandez Holtman Hoopes Horowitz Hua Humphries Huynh Hwang Hyer Isfeld Iwashita Jang Jarrett Jenkins Jun Kainth Kalavacharla Karimzada Kasimi Kemp Kim Kim Kononov Korcek Koscinski Kotler Le Le

DDS DMD DDS DDS DMD DMD DMD DDS DDS DMD DDS DDS DMD DMD DMD DMD DDS DMD DMD DDS DDS DDS DDS DMD DMD DDS DDS DDS DMD DDS DMD DMD DMD DDS

S6-156 Pediatric Dentist 6924 6992 6970 6922 6918 6909 6995 LL-452-17 6979 6946 S3-310C Orthodontist 6980 7013 S6-159 Pediatric Dentist S6-154C Pediatric Dentist 7043 6950 LL-443-17 7002 6956 LL-454-17 6976 6919 7017 7015 6963 6974 6987 7030 6942 7009 6892 6986

September 8, 2017 Active June 30, 2017 Active

October 2, 2017 Active August 16, 2017 Active

July 14, 2017 Active June 9, 2017 Active June 9, 2017 Active October 2, 2017 Active July 14, 2017 Active October 2, 2017 Active June 30, 2017 Active September 1, 2017 Active August 25, 2017 Active January 12, 2018 Active October 20, 2017 Active September 8, 2017 Active March 30, 2018 Active June 23, 2017 Active July 14, 2017 Active November 13, 2017 Active July 14, 2017 Active July 21, 2017 Active October 2, 2017 Active May 26, 2017 Active January 26, 2018 Active January 19, 2018 Active July 14, 2017 Inactive September 8, 2017 Active September 15, 2017 Active February 2, 2018 Active June 30, 2017 Active January 19, 2018 Active December 1, 2017 Active August 25, 2017 Active

September 8, 2017 June 30, 2017

October 2, 2017 August 16, 2017

July 14, 2017 June 9, 2017 June 9, 2017 October 2, 2017 July 14, 2017 October 2, 2017 June 30, 2017 September 1, 2017 August 25, 2017 January 12, 2018 October 20, 2017 September 8, 2017 March 30, 2018 June 23, 2017 July 14, 2017 November 13, 2017 July 14, 2017 July 21, 2017 October 2, 2017 May 26, 2017 January 26, 2018 January 19, 2018 July 14, 2017 September 8, 2017 September 15, 2017 February 2, 2018 June 30, 2017 January 19, 2018 December 1, 2017 August 25, 2017

June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2018 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2018 June 30, 2019 June 30, 2019 June 30, 2018 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 01/20/2017; 01/19/2018 June 30, 2019 June 30, 2019

Andrew C

Anita

S

Veronica S

YiChen

Wanni

Christopher L

Ji

K

Henry

L

Kelcey

G

Karina

K

Ryan

D

Debra

F

Erin

M

Kellie

J

Sean

B

Michael S

Steven

M

Firas

F

Brian

L

Clayton T

Amanda K

Hong

A

Julie

K

Xuan-Binh T

Alissara G

Samuel B

Heather N

Aaron

J

Frank

J

Griffin

D

Corbin

G

James

A

Jetan

Keya

V

Lee Lee Lee Lee Lie Ligon Loh Lotsof Loveland Ma Martz Mavroidis McEvoy McGinley McKeown Moody Morgan Najeeb Naylor Neilson Nelson Nguyen Nguyen Nguyen Nimsuwan Oh Olson Osga Pappas Park Partridge Pasternak Patel Patel

DDS DDS DDS DMD DMD DMD DMD DDS DMD DMD DMD DDS DMD DDS DDS DMD DDS DDS DDS DMD DMD DDS DDS DMD DMD DMD DMD DDS DDS DMD DMD DDS DDS DMD

6884 6983 7021 6935 6920 6911 6968 7033 S3-316 6973 6928 7037 6900 7026 S4-105C S2-155C 6990 S3-306 7070 6905 7035 6893 6971 6972 7034 S6-153 6917 7042 7005 6943 S2-154C 6969 7016 6964

May 26, 2017 Active

September 8, 2017 Active

February 2, 2018 Active

June 16, 2017 Active

May 26, 2017 Active

May 26, 2017 Active

July 14, 2017 Active

April 13, 2018 Active

Orthodontist

February 16, 2018 Active

August 11, 2017 Active

June 16, 2017 Active

March 16, 2018 Active

April 21, 2017 Active

February 23, 2018 Active

Periodontist

November 3, 2017 Active

Oral & Maxillofacial Surgeon February 23, 2018 Active

October 2, 2017 Active

Orthodontist

June 30, 2017 Active

May 29, 2018 Active

May 26, 2017 Active

February 9, 2018 Active

April 14, 2017 Active

September 15, 2017 Active

August 4, 2017 Active

April 27, 2018 Active

Pediatric Dentist

August 11, 2017 Active

June 16, 2017 Active

May 18, 2018 Active

January 26, 2018 Active

June 9, 2017 Active

Oral & Maxillofacial Surgeon October 2, 2017 Inactive

August 25, 2017 Active

January 12, 2018 Active

August 4, 2017 Active

May 26, 2017 September 8, 2017

February 2, 2018 June 16, 2017 May 26, 2017 May 26, 2017 July 14, 2017 April 13, 2018

February 16, 2018 August 11, 2017 June 16, 2017 March 16, 2018 April 21, 2017

February 23, 2018 November 3, 2017 February 23, 2018

May 17, 2018 June 30, 2017 May 29, 2018 May 26, 2017 February 9, 2018 April 14, 2017 September 15, 2017 August 4, 2017 April 27, 2018 August 11, 2017 June 16, 2017 May 18, 2018 January 26, 2018

June 9, 2017 October 2, 2017 August 25, 2017 January 12, 2018

August 4, 2017

June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019

Payal

S

Brady

T

Natasha C

Jeremy Huy

Tracy

Q

Yves

Y

Jessica

S

Hamid

M

Sarah

R

Galya

Joshua

A

Stephen S

Samir

J

Munehiko

Olivia

M

Lindsay M

Reza

Faith

V

Louis

W

Allen

T

Sogol

Akanksha

Rassilee

Michael L

Laurel

M

Eric

S

John

N

Prakash K

Stephanie C

Sheronda M

Andrew R

Lili

A

Byron

H

Calvin

H

Patel

Petersen

Petrie

Pham

Pham

Pham

Pharar

Pour

Rafo

Raz

Renk

Rheem

Ridha

Ro

Rodrigues

Row

Sadeghi

Santiago

Schmohl

III

Shan

Shantiyai

Sharma

Sharma

Sherman

Shin

Shyu

Silvaroli

Sojitra

Steiner

Strider-Barraza

Stubbs

Szabo

Tam

Tam

DDS DMD DDS DDS DMD DMD DMD DDS DDS DMD DDS DDS DDS DDS DDS DMD DDS DDS DDS DMD DMD DMD DDS DDS DMD DMD DMD DDS DDS DMD DMD DDS DDS DDS

6925 6930 6931 7011 6926 6929 7019 7041 6959 S4-106 Periodontist S5-47C Prosthodontist S3-307 Orthodontist 6993 S4-104C Periodontist 7004 S6-152 Pediatric Dentist 6999 6878 LL-458-17 LL-457-17 6938 6949 6982 7054 6996 6940 6961 6899 LL-444-17 6910 S7-100C Endodontist LL-449-17 S3-308 Orthodontist 7001

May 26, 2017 Active May 26, 2017 Active June 9, 2017 Active December 29, 2017 Active June 16, 2017 Active June 30, 2017 Active January 12, 2018 Active April 20, 2018 Active July 14, 2017 Active November 22, 2017 Active January 19, 2018 Active June 30, 2017 Active October 26, 2017 Active September 8, 2017 Active December 15, 2017 Active July 21, 2017 Active November 17, 2017 Active May 19, 2017 Active December 22, 2017 Active October 20, 2017 Active July 14, 2017 Active June 23, 2017 Active September 8, 2017 Active October 20, 2017 Active November 13, 2017 Active July 14, 2017 Active June 30, 2017 Active September 8, 2017 Active June 23, 2017 Active June 9, 2017 Active January 19, 2018 Active July 14, 2017 Active June 30, 2017 Active November 3, 2017 Active

May 26, 2017 May 26, 2017 June 9, 2017 December 29, 2017 June 16, 2017 June 30, 2017 January 12, 2018 April 20, 2018 July 14, 2017 November 22, 2017 January 19, 2018 June 30, 2017 October 26, 2017 September 8, 2017 December 15, 2017 July 21, 2017 November 17, 2017 May 19, 2017 December 22, 2017 October 20, 2017 July 14, 2017 June 23, 2017 September 8, 2017 October 20, 2017 November 13, 2017 July 14, 2017 June 30, 2017 September 8, 2017 June 23, 2017 June 9, 2017 January 19, 2018 July 14, 2017 June 30, 2017 November 3, 2017

June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2018 June 30, 2018 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2019 June 30, 2018 June 30, 2019 June 30, 2019 June 30, 2018 June 30, 2019 June 30, 2019

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