Utah
Division of Occupational and Professional Licensing
BRIAN JAMES GOODWINE
Dental - Dentist Anesthesia Class Ii Permit
License number
360185-9922
Date granted
06/03/1998
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
MONTICELLO, UT 84535
utahlicensing.org
ID 29717543
LAST UPDATED 2024-03-10 04:44:33 UTC
LAST UPDATED 2024-03-10 04:44:33 UTC
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