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Licensing details for: 835

Name: SACKETT, CHARLES(CARL) EDWIN IV

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

4750 Peninsula Point Dr
SEASIDE CA 93955-6506
MONTEREY county
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Issuance Date

August 24, 2005

Expiration Date

September 30, 2024

Current Date / Time

June 6, 2025
2:19:9 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: SACKETT, CHARLES EDWIN IV

License/Registration Type: Dentist License

License Number: 51646 Primary Status: Current - Active

Address :
4750 Peninsula Point Dr
SEASIDE CA 93955-6506
MONTEREY COUNTY

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