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Licensing details for: 536

Name: LOUIE, IRENE

License Type: Moderate Sedation Permit

Primary Status: Current - Active

Address of Record

307 19th Ave
SAN FRANCISCO CA 94121-2304
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Issuance Date

September 13, 2024

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
2:10:37 AM

License Relationships

MS to DDS or OMS or SP

License/Registration Role: Moderate Sedation Permit

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

Name: LOUIE, IRENE

License/Registration Type: Dentist License

License Number: 104714 Primary Status: Current - Active

Address :
307 19th Ave
SAN FRANCISCO CA 94121-2304
SAN FRANCISCO COUNTY

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