Utah
Division of Occupational and Professional Licensing
JONATHAN MARVIN FAIRBANKS
Dental - Dentist Anesthesia Class Ii Permit
License number
8833446-9922
Date granted
10/28/2013
Date expires
05/31/2016
Class
Dental - Dentist Anesthesia Class Ii Permit
Status
Active
Address
PULLMAN, WA 99163
utahlicensing.org
ID 29718490
LAST UPDATED 2024-03-28 12:23:25 UTC
LAST UPDATED 2024-03-28 12:23:25 UTC
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