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Licensing details for: 63301

Name: WAGLE, ELKE MERYL

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Address of Record

1731 Cedar St
SANTA MONICA CA 90405-2723
LOS ANGELES county
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Issuance Date

March 11, 2014

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
7:52:39 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: WAGLE, ELKE MERYL

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 3178 Primary Status: Cancelled

Address :
1731 Cedar St
SANTA MONICA CA 90405-2723
LOS ANGELES COUNTY

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