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Licensing details for: 104714

Name: LOUIE, IRENE

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

307 19th Ave
SAN FRANCISCO CA 94121-2304
SAN FRANCISCO county
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Issuance Date

December 31, 2019

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
2:29:6 PM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Conscious Sedation Permit

Name: LOUIE, IRENE

License/Registration Type: Conscious Sedation Permit

License Number: 1303 Primary Status: Cancelled

Address :
505 South Dr Ste 5
STE 5
MOUNTAIN VIEW CA 94040-4210
SANTA CLARA COUNTY

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MS to DDS or OMS or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Moderate Sedation Permit

Name: LOUIE, IRENE

License/Registration Type: Moderate Sedation Permit

License Number: 536 Primary Status: Current - Active

Address :
307 19th Ave
SAN FRANCISCO CA 94121-2304

Map

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