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Licensing details for: 518

Name: LOBERG, LEIF ERIC ALBERT

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

23141 Moulton Pkwy # 210
LAGUNA HILLS CA 92653-1204
ORANGE county
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Issuance Date

August 10, 2006

Expiration Date

August 31, 2023

Current Date / Time

June 22, 2025
4:51:59 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: LOBERG, LEIF ERIC ALBERT

License/Registration Type: Dentist License

License Number: 49368 Primary Status: Current - Active

Address :
23141 Moulton Pkwy # 210
LAGUNA HILLS CA 92653-1204
ORANGE COUNTY

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