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Licensing details for: 55924

Name: KRUIZENGA, MEGHANNE ELIZABETH

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: GROMIS, MEGHANNE ELIZABETH

Address of Record

1202 Beaumont Ave
Suite B
BEAUMONT CA 92223-1506
SAN BERNARDINO county
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Issuance Date

July 16, 2007

Expiration Date

June 30, 2025

Current Date / Time

June 6, 2025
10:31:19 PM

License Relationships

OCS to DDS, OMS, or SP

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

Related Party Role: Oral Conscious Sedation Certificate

Name: KRUIZENGA, MEGHANNE ELIZABETH

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 2658 Primary Status: Cancelled

Address :
1202 Beaumont Ave
Suite B
BEAUMONT CA 92223-1506
RIVERSIDE COUNTY

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