How do I reset a system extension permission?

I am having issues while upgrading a third party driver for my Motu M2 audio interface. Plug and play works fine but I use this extension to reduce latency and improve quality during recording.

It seems like despite uninstalling/re-installing, the driver is not able to load and/or ask for the extension permissions during install. Here is the error from the application extension itself.

I have opened a ticket with the vendor but it's not getting too far. I have also reset PRAM, run Disk Util, reset security permissions but have not had any luck. Is there any way to fix/reset this without an OS reinstall?