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Licensing details for: 39

Name: SANGER, ROGER GREGORY

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

PO BOX 1825
KETCHUM ID 83340
BLAINE county
Map

Issuance Date

November 13, 2000

Expiration Date

May 31, 2013

Current Date / Time

December 13, 2025
9:15:5 PM

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: SANGER, ROGER GREGORY

License/Registration Type: Dentist License

License Number: 21200 Primary Status: Cancelled

Address Not Disclosed

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