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Licensing details for: 654

Name: MC LEOD, ROBERT BRYAN

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

840 OAK GLEN
IRVINE CA 92618
ORANGE county
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Issuance Date

April 29, 2009

Expiration Date

January 31, 2011

Current Date / Time

June 6, 2025
9:47:54 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: MC LEOD, ROBERT BRYAN

License/Registration Type: Dentist License

License Number: 48747 Primary Status: Current - Active

Address :
12201 Tunstall St
GARDEN GROVE CA 92845-1624
ORANGE COUNTY

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