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Licensing details for: 381

Name: MOODY, REX C

License Type: Dentist General Anesthesia

Primary Status: Cancelled

Previous Names: MOODY, REX CALVERT

Address of Record

26302 LA PAZ RD STE 102
MISSION VIEJO CA 92691
ORANGE county
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Issuance Date

December 31, 1980

Expiration Date

May 31, 2018

Current Date / Time

June 7, 2025
3:46:31 PM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: MOODY, REX C

License/Registration Type: Dentist License

License Number: 24148 Primary Status: Cancelled

Address :
507 N SULLIVAN STE 120
SPOKANE VALLEY WA 99037

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