Utah
Division of Occupational and Professional Licensing
HEATH JORDAN BLAKE
Dental - Dentist Anesthesia Class I Permit
License number
5959068-9921
Date granted
07/14/2005
Date expires
05/31/2014
Class
Dental - Dentist Anesthesia Class I Permit
Status
Superceded
Address
PLEASANT GROVE, UT 84062
utahlicensing.org
ID 29715763
LAST UPDATED 2024-03-12 15:24:17 UTC
LAST UPDATED 2024-03-12 15:24:17 UTC
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