Utah
Division of Occupational and Professional Licensing
JARED WILLIAM JACOBSEN
Dental - Dentist Anesthesia Class I Permit
License number
4931054-9921
Date granted
06/11/2001
Date expires
05/31/2010
Class
Dental - Dentist Anesthesia Class I Permit
Status
Expired
Address
NEWPORT BEACH, CA 926605313
utahlicensing.org
ID 29715901
LAST UPDATED 2024-05-03 09:56:47 UTC
LAST UPDATED 2024-05-03 09:56:47 UTC
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