License holder summary

BRANDON WALLACE FAIRBANKS is a Dental - Dentist Anesthesia Class I Permit licensed to practice in Utah. The address on file for BRANDON WALLACE FAIRBANKS is LEHI, UT 84043. This licensed professional license is current. The license was granted 06/12/2003 and expired on 05/31/2016.

Utah

Division of Occupational and Professional Licensing

BRANDON WALLACE FAIRBANKS
Dental - Dentist Anesthesia Class I Permit
License number
5334209-9921
Date granted
06/12/2003
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
LEHI, UT 84043
utahlicensing.org
ID 29715030
LAST UPDATED 2024-03-31 20:38:50 UTC

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