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Licensing details for: 105

Name: ERICKSON, MICHAEL J

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

20265 LAKE CHABOT ROAD
CASTRO VALLEY CA 94546
ALAMEDA county
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Issuance Date

January 1, 1992

Expiration Date

July 31, 2008

Current Date / Time

December 13, 2025
6:55:9 PM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Conscious Sedation Permit

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

Name: ERICKSON, MICHAEL J

License/Registration Type: Dentist License

License Number: 19278 Primary Status: Cancelled

Address :
20265 LAKE CHABOT ROAD
CASTRO VALLEY CA 94546
ALAMEDA COUNTY

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