Skip to Main Content

Licensing details for: 1303

Name: LOUIE, IRENE

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

307 19TH AVE
SAN FRANCISCO CA 94121
SAN FRANCISCO county
Map

Practice Location

505 South Dr Ste 5
STE 5
MOUNTAIN VIEW CA 94040-4210
SANTA CLARA county
Map

Issuance Date

September 7, 2021

Expiration Date

September 30, 2024

Current Date / Time

June 6, 2025
1:50:53 AM

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: LOUIE, IRENE

License/Registration Type: Dentist License

License Number: 104714 Primary Status: Current - Active

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

Map

Important Links