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Licensing details for: 522

Name: KO, SAMUEL HYUNWOOK

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

12429 MARIPOSA RD. SUITE A
VICTORVILLE CA 92395
SAN BERNARDINO county
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Issuance Date

July 3, 2002

Expiration Date

September 30, 2018

Current Date / Time

December 13, 2025
11:40:26 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: KO, SAMUEL HYUNWOOK

License/Registration Type: Dentist License

License Number: 40454 Primary Status: Current - Active

Address :
12429 MARIPOSA RD. SUITE A
VICTORVILLE CA 92395
SAN BERNARDINO COUNTY

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