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Licensing details for: 3478

Name: PETERSON, JEROME NORMAN

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

2500 ALTON PKWY #202
IRVINE CA 92606
ORANGE county
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Issuance Date

May 6, 2016

Expiration Date

February 28, 2023

Current Date / Time

June 6, 2025
2:17:30 AM

License Relationships

OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

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

Name: PETERSON, JEROME NORMAN

License/Registration Type: Dentist License

License Number: 23551 Primary Status: Current - Active

Address :
2500 ALTON PKWY #202
IRVINE CA 92606
ORANGE COUNTY

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