Utah
Division of Occupational and Professional Licensing
JERRY RUSSELL CAPENER
Dental - Dentist Anesthesia Class Ii Permit
License number
133370-9922
Date granted
01/05/1989
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
PERRY, UT 84302
utahlicensing.org
ID 29718392
LAST UPDATED 2024-03-23 21:18:02 UTC
LAST UPDATED 2024-03-23 21:18:02 UTC
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