Utah
Division of Occupational and Professional Licensing
GERALD P POULSEN
Dental - Dentist Anesthesia Class I Permit
License number
131024-9921
Date granted
06/08/1966
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class I Permit
Status
Active
Address
SOUTH JORDAN, UT 84095
utahlicensing.org
ID 29715681
LAST UPDATED 2024-03-16 22:43:33 UTC
LAST UPDATED 2024-03-16 22:43:33 UTC
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